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. 2024 Aug 22;12:2050313X241272551. doi: 10.1177/2050313X241272551

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© The Author(s) 2024

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

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Figure 4. — Cardiac MR images: thickening of myocardium observed on cardiac MRI. LV and RV are mildly dilated in size with severely reduced systolic functions: LVEF measuring at 30.2% and RVEF measuring at 31.2%. LGE of the LV was observed with mid-wall delayed enhancement in the basal inferoseptum, and subendocardial delayed enhancement in the mid-inferoseptum suggesting inflammation and/or necrosis. Moderate pericardial effusion was present as well as elevated T1, T2, and ECV, which was consistent with acute myocarditis. The mitral valve and tricuspid valve demonstrated regurgitation.

ECV: extracellular volume; LGE: late gadolinium enhancement; LV: left ventricle; LVEF: left ventricular ejection fraction; RV: right ventricle; RVEF: right ventricular ejection fraction.