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AL amyloidosis confirmed by endomyocardial biopsy. An elderly patient with NYHA III heart failure and 42% LVEF. Four-chamber balanced-steady state free precession (b-SSFP) MRI (A) shows symmetric thickening of the left ventricle with the septum maximally measuring 25 mm. Circumferential subendocardial LV LGE in two-chamber short (B) and long axes (C) and three-chamber b-SSFP (D); QALE score 12.
