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Fig. 3 | Insights into Imaging

Fig. 3

From: The emerging role of magnetic resonance imaging and multidetector computed tomography in the diagnosis of dilated cardiomyopathy

Fig. 3

Extreme form of dilated cardiomyopathy in an 11-year-old girl involving both ventricles, and clinically presenting with severe symptoms of heart failure. SSFP cine MR image in the axial plane at end-diastole (a) and end-systole (b). Late gadolinium enhancement (LGE) MRI in the midventricular short-axis plane (c) and axial plane (d). Note the important dilatation of both ventricles, i.e. LV end-diastolic volume of 324 ml, RV end-diastolic volume of 520 ml with an ejection fraction of 9% and 7% for the LV and RV respectively. LGE MRI shows diffuse strong subepicardial enhancement in the LV (white arrows in c, d), along the subendocardium of the RV (black arrows) (d), and of the RV free wall (white arrowheads) (d). Unfortunately the patient died while on the waiting list for a cardiac transplant

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