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Fig. 10 | Insights into Imaging

Fig. 10

From: Right ventricular cardiovascular magnetic resonance imaging: normal anatomy and spectrum of pathological findings

Fig. 10

Primary biventricular amyloidosis in 41-year-old woman addressed to CMR for characterisation of an unexplained LV concentric hypertrophy and to rule out hypertrophic cardiomiopathy. A concentric LV wall thickening with RV involvement (white arrowheads) and the characteristic diffuse heterogeneous “non-suppressed” appearance of the myocardium is depicted on late-enhanced phase sensitive inversion recovery T1-weighted short axis (a) and four-chamber view images (b). c Endomyocardial biopsy demonstrated extensive amyloid substance occupying the interstitium (asterisk), surrounding myocardiocites (arrows) and small vessels (black arrowhead)

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