CT
Axial lung window
CT scan shows a marked mediastinal, hilar and paratracheal lymphadenopathy in addition to scattered micronodular opacities in the lungs, most notably in the superior segment of the right lower lobe.
There is marked septal hypertrophy favoring the right ventricular septum. Intense delayed enhancement corresponding to the areas of hypertrophy. Additionally, there is transmural enhancement at the left ventricular apex.
The areas of hypertrophy do not demonstrate arterial phase enhancement on perfusion imaging.