Which late gadolinium enhancement pattern is seen in the images?
There is a focal, patchy intramural/subepicardial pattern.
Findings:
Heart rate: 58 bpm, BSA: 1,94 m²
Image quality: no limitations
Morphology and functional analysis:
- LV-EDVI: 73 ml/m²
- LV-ESVI: 28 ml/m²
- LV-SVI: 45 ml/m²
- LV-EF: 61 %
- Cardiac output: 5.0 l/min
- Cardiac index: 2,6 l/min/m²
- LV-ED mass + papillary muscle: 43 g/m²
- Septum thickness: 8 mm
No regional left ventricular wall motion abnormalities.
Visually normal atrial size. Persistent foramen ovale (PFO).
Mild calcification of the anterior mitral leaflet. Mild mitral insufficiency.
No intercavitary thrombi were found.
Myocardial tissue properties 1:
No regional or global myocardial oedema.
Patchy intramyocardial and subepicardial late gadolinium enhancement (LGE) in the midventricular/apical inferior segments, best visible on the 2-chamber view (2ch).
T2 mapping: 51 ms
T1 mapping native: 990-1040 ms [950-1060ms*], extracellular volume (ECV): < 30%
*native T1 reference range based on local data
Extensive, circular pericardial effusion.
Impression:
Patchy intramural and subepicardial late gadolinium enhancement visible in the apical/midventricular inferior segments and extensive pericardial effusion consistent with cardiac sarcoidosis.
No signs of acute myocardial inflammation.