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Fig. 9 | Insights into Imaging

Fig. 9

From: Magnetic resonance imaging of abnormal ventricular septal motion in heart diseases: a pictorial review

Fig. 9

A 60-year-old man with shortness of breath and chest pain. a Early diastolic four-chamber steady-state free precession cine-MR image during operator-guided breathing inspiration, showing ventricular septal flattening (arrowheads) that disappears at late filling (not shown). Note the associated small pericardial effusion and bilateral pleural effusions (asterisks). A round atelectasis (star) can also be observed. b Four-chamber inversion-recovery turbo field-echo MR image revealing delayed enhancement of the pericardium (arrows), indicative of inflammation. Note the associated small pericardial effusion and bilateral pleural effusions (asterisk) and round atelectasis (star). Findings at subsequent pericardiocentesis confirmed exudative effusion

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