The first image was taken early after giving the GAD at Ti of 600 shows intra-myocardial, non enhancing foci in LAD distribution, highly suspicious for microvascular obstruction and intra-myocardial hemorrhage. The second image shows set of 2 images the one on the right was taken 4 min after contrast injection, the left one was taken 14 min after the injection, the area of the hypo enhancement with the central dark zone marked by the green arrows, indicating myocardial infarction with central zone of MVO, the extent of the MVO is less on the left image due to contrast penetration over time.