PMC6881561_01
Four-chamber ECHO with color Doppler showing a spongy looking myocardium with dilated sinusoids suggestive of left ventricular noncompaction.
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fig1
An apical four-chamber view with color Doppler was remarkable for red speckles (sinusoids) within the hypertrophied left ventricular muscle (Figure 1) raising the concern for LVNC.
Axial steady-state free precession (SSFP) image depicting thinning of the compacted myocardium (white arrows) and prominent trabeculations along the lateral wall (black arrow) with noncompacted to compacted ratio >2.3.
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fig2
Cardiac MRI revealed increased trabeculations along the posterior apical aspect of left ventricle with noncompacted to compacted myocardial ratio >2.3 consistent with left ventricular noncompaction (Figures 2 and 3).
Short axis plane late gadolinium enhancement (LGE) image showing corresponding enhancement in the affected apical myocardium (white arrows) and extensive trabeculations at the ventricular apex (black arrow).
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fig3
Cardiac MRI revealed increased trabeculations along the posterior apical aspect of left ventricle with noncompacted to compacted myocardial ratio >2.3 consistent with left ventricular noncompaction (Figures 2 and 3).