Figure 5.

Hypereosinophilic syndrome. (a) Still four-chamber steady-state free precession cine in diastole shows increased left and right ventricular wall thickness (particularly at the apex) (white arrows), moderate left atrium dilatation, severe tricuspid regurgitation (not shown), right atrium (RA) dilatation and pericardial effusion (white star). (b) Inversion recovery early gadolinium image shows diffuse left and right subendocardial thrombi. These were confirmed histologically. (c) Inversion recovery late gadolinium image shows diffuse right and left subendocardial fibrosis.