Presentation
History of myocarditis, most likely giant cell myocarditis.
Patient Data
Patient characteristics:
Synchronous, adequate contraction of both ventricles. Diffuse thickening of LV wall. Edema of the LV wall on T2 SPIR-weighted images, over twice the signal intensity of skeletal muscle. Poor diastolic filling with only an A peak measured over the mitral valve (not shown), likely due to diffuse wall thickening.
Myocardium cannot be properly suppressed, suggestive of myocardial edema. On viability series there is diffuse late enhancement of myocardium with additional patchy areas of late enhancement in the anteroseptal and inferoseptal LV wall.
Moderate pericardial effusion with slight pericardial enhancement.
Cardiac dimensions: