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Fig. 3 | Journal of Cardiovascular Magnetic Resonance

Fig. 3

From: Comparing the findings and diagnostic sensitivity of cardiovascular magnetic resonance in biopsy confirmed acute myocarditis with infarct-like vs. heart failure presentation

Fig. 3

Contrasting patterns of CMR findings between patients with confirmed myocarditis presenting with infarct-like and heart failure symptoms. Top row: A 25-year-old male presenting with infarct-like symptoms and confirmed acute myocarditis on endomyocardial biopsy. A Short tau inversion recovery (STIR) imaging showing oedema in the inferolateral distribution. B Early gadolinium enhancement noted in the same distribution. C Bright subepicardial late gadolinium enhancement seen in the inferolateral wall. Bottom row: A 32-year-old male presenting with heart failure symptoms and confirmed acute myocarditis on endomyocardial biopsy. A and B No obvious oedema on STIR imaging nor early gadolinium enhancement. C Bland mid-myocardial late gadolinium enhancement seen in the septum

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