From the case: Myocardial contusion
4 chamber late phase (~10 mins)
Oblique late phase (~10 mins): PSIR sequence with nulled myocardium. Transmural late enhancement could indicate myocardial infarction, but the patch of LE is relatively small and does not correspond to coronary vascular territories. It could correspond to obstruction of a small septal LAD branch, though. Once again - it is still unclear, whether myocardial changes after contusion come from direct injury, indirect injury (ischemia) due to damage to the local vessels or both.