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Fig. 24 | Journal of Cardiovascular Magnetic Resonance

Fig. 24

From: Society for Cardiovascular Magnetic Resonance 2020 Case of the Week series

Fig. 24

Case 9: Figure 4. T2 short tau inversion recovery (STIR) and LGE short axis. T2-STIR (A–C) and LGE (D–F) sequences in basal (left column—A, D), mid-ventricular (central column—B, E) and apical (right column—C, F) short axis views. Although relatively subtle, on STIR images there is myocardial hyperintensity (green asterisks) in the basal to apical anterior and lateral walls and mid anteroseptum, which is suggestive of myocardial edema. On LGE images there is subepicardial enhancement (arrows) in the basal to mid antero- and inferoseptum. The existence of epicardial fat (blue asterisks) might be confounded by subepicardial enhancement. Typically, epicardial fat appears hyperintense on the LGE sequence but is suppressed on STIR images

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