*Department of Radiology, Beneficência Portuguesa de São Paulo Hospital, São Paulo, Brazil
**Siemens Healthineers Brazil
A 55-year-old male patient, with atypical chest pain, syncope, hyperlipidemia, and a family history of coronary artery disease (CAD), underwent a treadmill test. This was inconclusive due to a left-bundle branch block. A coronary and a carotid CT angiography (CTA) were requested by the referring physician to rule out coronary and/ or carotid artery disease.