File:Cardiac sarcoidosis (Radiopaedia 39811-42243 I 116).jpg

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Summary:

Description	Radiopaedia case ID: 39811 Image ID: 16097587 Image stack position: 116/399 Plane projection: short axis Aux modality: cine images Modality: MRI System: Cardiac Findings: Patient characteristics:Dimensions: LV 62 mm, RV 39 mm, septum 11 mm LV function: EF 35%, SV 92 ml, EDV 265 ml (125 ml/m²), ESV 173 ml (82 ml/m²)RV function: EF 47%, SV 97 ml, EDV 208 ml (98 ml/m²), ESV 111 ml (52 ml/m²) Mitral valve: normal bifasic flow and E/A ratio, stroke volume 86 ml, peak velocity 0.6 m/sec.Aortic valve: tricuspid valve, stroke volume 94 ml, peak velocity 1.2 m/sec. Global hypokinesia of left ventricle, most prominent in several focal areas of thinned ventricular wall and late enhancement. There is extensive late enhancement in a non-ischemic pattern: There is also slight RV hypokinesia without focal akinesia or dyskinesia. No lymphadenopathy or other gross abnormalities visible on survery images. Conclusion:Dilated LV with poor function (ejection fraction 35%). Extensive late enhancement in a non-ischemic pattern, most pronounced in LV, but also in RV. Images most consistent with sarcoidosis. Differential diagnosis includes (status after) extensive myocarditis or other cardiomyopathy.
Date	Published: 28th Sep 2015
Source	https://radiopaedia.org/cases/cardiac-sarcoidosis
Author	Tim Luijkx
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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