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. 2018 Jan 9;2018:5610347. doi: 10.1155/2018/5610347

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Copyright © 2018 Giuseppe Cannavale et al.

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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CMR examination in a 62-year-old woman with idiopathic dilatative cardiomyopathy. Four-chamber T1-weighted black blood image (a) demonstrates left ventricular chamber enlargement with an intramyocardial hyperintense stripe in the interventricular septum. Short axis black blood T2-weighted with fat suppression (b) shows a signal drop of the stripe, confirming the presence of intramyocardial fat. On short axis late gadolinium enhancement T1-weighted sequence (c) the adipose tissue location corresponds to myocardial enhancement due to concomitant intramyocardial fibrosis with mesocardial distribution within the interventricular septum.