Figure 2

Real and ‘pseudo-real’ late gadolinium enhancement (LGE) in 3 patients with positive LGE studies. (Ai-iii) Genuine LGE is evident in the mid inferior wall in the 2-chamber view (Ai) with both linear (black arrows) and more focal (white arrow) enhancement. Confirmation of these findings is provided by short axis cross cuts through this region, which also show subendocardial (white arrows) and midwall nodular (dotted arrow) myocardial scar. (Bi-ii) “Pseudo” LGE (white arrow) is present at the site of ventricular septal defect (VSD) repair shown in 4-chamber (i) and short axis (ii) views. (C) “Pseudo” LGE (black arrow) evident in a large surgical patch placed for VSD repair.