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Fig. 9 | Insights into Imaging

Fig. 9

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

Fig. 9

Dilated dysfunctional LV in a 19-year-old woman. SSFP cine MRI in the horizontal long axis at end-diastole (a) and end-systole (b), and in the vertical long-axis at end-diastole (c) and end-systole (d). The LV end-diastolic volume is 260 ml with an ejection fraction of 11%. Note an extreme thinning of the myocardial wall, in particular of the interventricular septum, and the presence of thick pronounced trabeculations in the LV apex. Although MRI enables the morphological abnormalities to be depicted accurately, it remains challenging in this patient to differentiate between an LV non-compaction cardiomyopathy and a DCM with compensatory trabecular hypertrophy

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