Hypertrophic cardiomyopathy - systolic anterior motion of mitral valve
Known cardiac disease. Screening for potential surgery.
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There is an impressive degree of hypertrophy involving nearly all segments except the septoapical and apical aspects of the heart. Systolic anterior motion of the mitral leaflet is seen due to the Venturi effect. Whether this leaflet is elongated or not cannot be assessed due to flow void artefact. Patchy mid-wall enhancements are consistent with fibrosis. There is no thrombus.