Fig. 4
From: Cardiac magnetic resonance in histologically proven eosinophilic myocarditis
Eosinophilic myocarditis without late gadolinium enhancement. A 27-year old female patient presented with fever and chest pain for 2 days. Cardiac magnetic resonance on 2nd hospital day showed diffuse pericardial effusion (white arrows), normal cavity volumes, and mildly reduced ejection fractions in the left (47%) and right (37%) ventricle (A). There was no evident late gadolinium enhancement (B) but the image quality was slightly compromised due to the presence of tachycardia (> 100/min) and pericardial effusion. Native T1 values (1150 – 1200 ms diffusely) and extra-cellular volume fractions (30–40%) [black arrows, (C)] were elevated indicating myocardial injury