An unexpected finding in a patient with haematuria

A 70-year-old man presented to the urology department because of haematuria. Computed tomography performed to visualise the kidneys unexpectedly revealed an abnormal aspect of the lateral wall of the left ventricle (LV) (figure 1). He was subsequently referred to our cardiology department. He had suffered from an inferior wall myocardial infarction 21 years earlier. Coronary artery bypass grafting was performed six years later using two venous grafts and the left internal mammary artery. Afterwards the patient was in an excellent clinical condition. He denied having had any cardiac symptoms during his visits to the outpatient clinic. Physical examination revealed no abnormalities.