PMC9007026_01
Cardiac MRI study. Top panel: horizontal long axis view in balanced cine SSFP in diastole (A) and systole (B), in T2 STIR (C) and inversion recovery 15' after gadolinium administration (D). Mid panel shows the corresponding images in mid short axis view. Bottom panel: horizontal long axis and corresponding 16 AHA segment polar maps of native T1 mapping (I), native T2 mapping (J) and post-contrast T1 mapping (K). Note the regional wall motion abnormality in the septum (A-B, E-F), foci of subepicardial and mid-wall late gadolinium enhancement (D, H, blue arrows) and subtle subepicardial signal increase in T2 STIR (G, blue arrow). There was diffuse native T1 prolongation with regional shortening after gadolinium administration (I and K, respectively).
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F1
There was also near transmural involvement of the anteroseptum in addition to subendocardial RV and subepicardial LV inferior wall extensions, with subtle myocardial oedema (see Figure 1).