This 60 year old man was referred for CT coronary angiography by his primary care physician because of possible statin intolerance. The patient had both diabetes (II) and hyperlipidemia but was experiencing vague muscle discomfort which he attributed to statin therapy. The referring physician wanted to assess the need for continued statin therapy.
Despite a low calcium score of only 16, the patient had a moderately stenotic non-calcific plaque of the proximal LAD artery. Clearly continued aggresive statin therapy is warranted.