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. Author manuscript; available in PMC: 2009 Sep 30.
Published in final edited form as: Circulation. 2009 Mar 31;119(12):1671–1681. doi: 10.1161/CIRCULATIONAHA.108.816512

Figure 4.

Figure 4

CMR images from a 49 year-old female presenting with chest pain and breathlessness. Cardiac serum biomarkers were raised and an ECG showed widespread T wave inversion. Coronary angiography showed normal coronary arteries with no evidence for coronary atheroma. CMR shows a regional wall motion abnormality predominantly in the inferior segments (panel A diastole, panel B systole). Late gadolinium enhancement images (panel C) show extensive epicardial hyperenhacement in the inferior and near transmural enhancement in the lateral segments. Based on all available results, a clinical diagnosis of myocarditis was made. The patient declined cardiac biopsy.