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Fig. 2 | Journal of Cardiovascular Magnetic Resonance

Fig. 2

From: Extra-cardiac findings in cardiovascular magnetic resonance: what the imaging cardiologist needs to know

Fig. 2

CMR performed in a patient with bifasicular block and transient 2:1 second degree atrio-ventricular block. Short-axis LV cine images revealed global LV systolic impairment with an ejection fraction of 31 %. There is evidence of aorto-pulmonary (a), para-tracheal (a and b) and subcarinal (c) lymphadenopathy (solid white arrows) on axial black blood imaging. There is also subtle parenchymal lung infiltrate (solid red arrows) in the midzones (b and c) on axial black blood images. The short axis magnitude late gadolinium enhancement images (d) reveal septal mid-wall and patchy lateral wall replacement fibrosis (dashed white arrows). Together, the cardiac and extra-cardiac findings, in the clinical context are consistent with cardiac and pulmonary sarcoidosis

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