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A representative case of SSc without LGE. Case 11 is a 69-year-old female who was NYHA class II with high NT-proBNP level (776 pg/ml). She had first degree atrio-ventricular block, right bundle branch block and abnormal Q waves (a). Cine-CMR showed LV dilatation and globally impaired LV contraction (LVEF = 44 %, (b), but LGE-CMR demonstrated no LGE in myocardium (c). The circumferential pericardial LGE was also apparent
