Figure 9.

46-year-old male with familial hypertrophic cardiomyopathy and non-sustained ventricular tachycardia (HOCM). Cardiac MRI was performed with delayed enhancement at the SSFP sequence, 10 minutes following the administration of 20 ml of Multihance and the PSIR pulse. (A) The two-chamber view demonstrates areas of mid-wall delayed enhancement in the inferior wall (arrow). (B) The short axis view demonstrates mid-wall delayed enhancement in the septum (white arrowhead), in the inferior wall (green arrowhead), and in the inferolateral segment of the myocardium (arrow). Delayed enhancement is seen in the papillary muscle (red arrowhead). (C) The Four-chamber view demonstrates mid-wall delayed enhancement in the septum (white arrow).