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(A) Contrast echocardiogram shows right ventricular dilation and reduced biventricular function. (B) Cardiac angiogram shows no obstructive lesion in the left coronary system. (C, D) Endomyocardial biopsy with hematoxylin & eosin stain shows infiltrating lymphocytes with associated myocyte injury. Endocardial infiltrate includes lymphocytes and eosinophils (yellow arrows).
