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. 2019 May 22;58(16):2367–2372. doi: 10.2169/internalmedicine.2596-18

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Copyright © 2019 by The Japanese Society of Internal Medicine

The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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Figure 2. — Cardiac magnetic resonance imaging. Day 1, T2-weighted short-tau inversion recovery (STIR) black-blood (BB) (T2w-STIR-BB) MRI showed diffuse high signal intensity (SI) equal to or greater than the spleen SI. (a) Day 1, early gadolinium-enhanced (EGE) imaging showed diffuse hyper-enhancement of the myocardium. (b) Day 1, late gadolinium-enhanced (LGE) imaging showed diffuse patchy enhancement. (c) Given the above, myocarditis with diffuse myocardial edema was diagnosed. Day 11, T2w-STIR-BB (d) and EGE (e) images showed improvement of edematous findings, and late gadolinium enhancement (f) of the myocardium was decreased.