PMC7603570_01
Initial T1-weighted delayed gadolinium-enhanced magnetic resonance images in (a) short axis and (b) four-chamber views demonstrating patchy midmyocardial delayed contrast enhancement in the anterior, inferior, and septal walls (arrows).
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fig1
Out of concern for myocardial involvement of SLE, cardiac MRI was obtained and revealed small patchy areas of midmyocardial delayed gadolinium enhancement in the anterior and inferior walls as well as the septum:findings that were consistent with myocarditis (Figure 1).
Repeat T1-weighted delayed gadolinium-enhanced magnetic resonance images in (a) short axis and (b) four-chamber views demonstrating the resolution of previously seen delayed contrast enhancement.
CRIRH2020-8884759.002.jpg
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fig2
Given the prior history of myocarditis, a second cardiac MRI was obtained, this time showing no evidence of myocardial inflammation (Figure 2).
PMC7603570_02