PMC9927030_01
Electrocardiogram showing normal sinus rhythm with right axis deviation and right bundle branch block
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FIG1
On arrival at the hospital, his electrocardiogram (ECG) showed normal sinus rhythm (NSR) with right axis deviation (RAD) and right bundle branch block (RBBB) (Figure 1).
Computerized tomography pulmonary angiogram showing centrilobular nodular opacification affecting the right upper and middle lobes as shown by the blue arrow.
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FIG2
CT pulmonary angiogram showed florid centrilobular nodular opacification affecting the right upper and middle lobes, hilar lymphadenopathy, and anterior abdominal lymphadenopathy suggestive of possible tuberculosis (Figure 2).
Echocardiography of parasternal long axis view showing normal left ventricular function.. Echocardiography of apical four-chamber view showing good biventricular function.
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VID1
Cardiovascular magnetic resonance imaging (CMR) showed normal biventricular function, mild atrial dilatation, and extensive, crescent-shaped, subepicardial late gadolinium enhancement seen in basal to apical inferior, basal to apical lateral, and mid to apical anterior segments (Figures 3-5).
Cardiovascular magnetic resonance imaging showing extensive crescentic-shaped subepicardial late gadolinium enhancement as shown by the arrow.
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FIG3
Cardiovascular magnetic resonance imaging (CMR) showed normal biventricular function, mild atrial dilatation, and extensive, crescent-shaped, subepicardial late gadolinium enhancement seen in basal to apical inferior, basal to apical lateral, and mid to apical anterior segments (Figures 3-5).
Cardiovascular magnetic resonance imaging (CMR) short axis view showing extensive, crescentic-shaped, subepicardial late gadolinium enhancement from basal to apical inferior, basal to apical lateral, and mid to apical anterior segments as shown by arrows.
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FIG4
Cardiovascular magnetic resonance imaging (CMR) showed normal biventricular function, mild atrial dilatation, and extensive, crescent-shaped, subepicardial late gadolinium enhancement seen in basal to apical inferior, basal to apical lateral, and mid to apical anterior segments (Figures 3-5). Chest radiography post-ICD implantation showed satisfactory leads positioning (Figure 5).