Fig. 1.

57-year-old patient with multiple myeloma with known bone lesion associated with light chain proteinuria and bilateral carpal tunnel syndrome. Cine-SSFP sequences (a short axis view; b 4-chamber view) showed a thickening of the left ventricular myocardium wall (19 mm in the septum) with global and moderate hypokinesia (left ventricular ejection fraction 46%). In panel c are reported some of the images of the lock–locker sequences of the TI scout. Inversion recovery turbo field echo sequences (d and e short axis view; f and g 4-chamber view) with a wrong myocardium null time (red box and arrow) and the one with the correct null time (green box and arrow); these last showed a diffuse areas of circumferential subendocardial pattern enhancement. The final diagnosis was light chain (AL) cardiac amyloidosis