Figure 1.

Idiopathic dilated cardiomiopathy in a 27-year-old asymptomatic patient occasionally identified during a routinary clinical screening. T1-weighted turbo spin echo 4-chamber image (a) shows a hugely dilated left ventricular chamber (end-diastolic volume 296 mL; ejection fraction 26%). Late gadolinium enhancement image acquired on the same orientation plane (b) shows absence of pathological enhancement within both ventricular chambers. There is also concomitant significant amount of pericardial effusion (arrow) located within the midbasal left ventricular lateral free wall which was initially interpreted as expression of a post pericardiomyocarditis form.