A 46-year-old African American male presented to the ER with severe chest pain. Patient woke up in the morning complaining pressure and tightness across the chest rated 9/10. His blood pressure was 160/90 on presentation.

Past medical history includes hypertension and tobacco abuse.

EKG on presentation is shown below. Initial high sensitivity troponin was 8 ng/L. Due to continuing chest pain, the patient was taken to the cardiac catheterization laboratory for diagnostic angiography and possible intervention.

Based on the EKG and clinical history, his coronary angiography most likely will show: