File:Cardiac amyloidosis (Radiopaedia 39736-42124 D 28).jpg

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Summary:

Description
  • Radiopaedia case ID: 39736
  • Image ID: 16094169
  • Image stack position: 28/30
  • Plane projection: 4 chamber
  • Aux modality: cine images
  • Modality: MRI
  • System: Cardiac
  • Findings: Patient characteristics:Length 184 cm, weight 77 kg, BSA 2,00 m² Diameters:- LV: 46 mm- RV: 44 mm- Septum: 18 mm, lateral wall 10 mm, anterior wall 14 mm, inferior wall 13 mm Functional analyzes:Left ventricle:- EDV: 187 mL (94 mL/m²)- ESV: 75 mL (37 mL/m²)- SV: 113 mL (56 mL/m²)- EF: 60%- CO: 6.6 L/min (3.3 L/min/m²) Right ventricle:- EDV: 170 mL (85 mL/m²)- ESV: 69 mL (34 mL/m²)- SV: 101 mL (51 mL/m²)- EF: 60%- CO:  5.9 L/min (3.0 L/min/m²) Concentric hypertrophy of LV wall, most prominent septally. Enlarged atria. No signs of LV outflow tract obstruction or systolic anterior motion (SAM) of the mitral valve. Synchronous contraction of both ventricles. No focal wall motion abnormalities. No valvular insufficiencies. No signs of iron deposition (T2* value 23 ms). On early and late enhancement series diffuse enhancement of the myocardium with concentric subendocardial apical and mid-ventricular ring enhancement in the late phase. There is also enhancement of papillary muscles, RV wall and both atria. Low signal intensity of the blood pool compared to myocardium. Pericardial effusion. Bilateral pleural effusion. Hemangioma in vertebral body T8. Conclusion:Images in keeping with cardiac amyloidosis.
Date Published: 28th Sep 2015
Source https://radiopaedia.org/cases/cardiac-amyloidosis
Author Tim Luijkx
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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