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Images 74, 75, 76 demonstrate reduced first pass enhancement of the myocardial wall (posterior interventricular septum and posterior left ventricular wall). This has been outlined.
Difficult appreciate these findings on these JPEG images. Soft tissue contrast improved on diagnostic panels/DICOM images.
No gross contour abnormality of the left ventricle (to indicate hypokinesis/akinesis)
No myocardial thinning in the hypoenhancing myocardium, suggesting that this is a relatively recent event.
Incidental multinodular goitre.