Fig. 8. Cardiac sarcoidosis in 61-year-old woman with irregular cardiac rhythm and dyspnea.

Short-axis MPR CCT images obtained during early (A) and delayed (B) contrast-enhancement phases show concentrically hypertrophied mid-LV wall in mid-diastole with diffuse transmural and mesocardial delayed enhancement (arrows). Delayed-enhancement CMR image (C) shows diffuse mesocardial enhancement in septum and multifocal patchy mesocardial enhancement in mid anterior, lateral, and inferior LV wall (arrows). Delayed-enhancement CMR is superior to delayed-enhancement CCT for differentiating patterns of delayed myocardial enhancement. CMR = cardiovascular magnetic resonance