A 53-year-old man was admitted to our institute with chest pain and palpitation. Using contrast echocardiography, left ventriculography and cardiac MRI, a subsequent diagnosis of mid-ventricular hypertrophic obstructive cardiomyopathy with an apical aneurysm was made. The current case highlights the benefits of multimodality imaging in not only achieving a diagnosis but also in comprehending the pathophysiological origins of this unusual phenomenon.