Fig. 7

Biventricular hypertrophic cardiomyopathy in a 37-year-old woman with history of syncope and fatigue. Severe concentric biventricular hypertrophy (septal thickness 27 mm; LV mass 389 g) with volumetric reduction of ventricular cavities and inhomogeneous bi-ventricular spotty areas of signal hyperintensity are depicted on T2WI four-chamber (a) view reflecting diffuse myocardial oedema; late enhancement image (b) shows extensive tissue damage with late enhancement involving both ventricles including the RV free apical wall (arrow). c Endomyocardial biopsy image confirms a severe hypertrophy and disarray of myocardiocites interrupted in short runs by replacement fibrosis (Masson Trichrome, 400×)