File:Cardiac sarcoidosis (Radiopaedia 74548-85466 2ch STIR 3).jpg

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Cardiac_sarcoidosis_(Radiopaedia_74548-85466_2ch_STIR_3).jpg ‎(389 × 397 pixels, file size: 27 KB, MIME type: image/jpeg)

Summary:

Description
  • Radiopaedia case ID: 74548
  • Image ID: 52080107
  • Image stack position: 3/8
  • Plane projection: 2ch
  • Aux modality: STIR
  • Study description: Cardiac MRI - 4 years earlier
  • Study findings: Findings: Heart rate:  67 bpm, BSA: 1,88 m² Image quality: no limitations Morphology and functional analysis: Mild global hypokinesia. No regional left ventricular wall motion abnormalities. Visually normal atrial size. Mild calcification of the anterior mitral leaflet. Mild mitral insufficiency. No intercavitary thrombi found. Myocardial tissue properties: No regional myocardial edema. Mildly increased relative water content on STIR images. Early gadolinium enhancement (EGE) ratio was significantly increased. Patchy intramyocardial and subepicardial enhancement visible in the apical/midventricular inferior segments, best visible on the 2-chamber view (2ch). Extensive, circular pericardial effusion. Impression: Cardiac MRI findings are consistent with non-ischemic myocardial inflammation. Massive circular pericardial effusion. Mild systolic dysfunction. In view of the clinical information and the previous thoracic CT, the findings are consistent with cardiac sarcoidosis.
  • Modality: MRI
  • System: Cardiac
  • Findings: Findings: Heart rate:  58 bpm, BSA: 1,94 m² Image quality: no limitations Morphology and functional analysis: No regional left ventricular wall motion abnormalities. Visually normal atrial size. Persistent foramen ovale (PFO). Mild calcification of the anterior mitral leaflet. Mild mitral insufficiency. No intercavitary thrombi found. Myocardial tissue properties 1: No regional or global myocardial edema. Patchy intramyocardial and subepicardial late gadolinium enhancement (LGE) in the midventricular/apical inferior segments, best visible on the 2-chamber view (2ch). T2 mapping: 51 ms T1 mapping native: 990-1040 ms [950-1060ms*], extracellular volume (ECV):  < 30% *native T1 reference range based on local data Extensive, circular pericardial effusion. Impression: Patchy intramural and subepicardial late gadolinium enhancement visible in the apical/midventricular inferior segments and extensive pericardial effusion consistent with cardiac sarcoidosis. No signs of acute myocardial inflammation.
Date Published: 4th Mar 2020
Source https://radiopaedia.org/cases/cardiac-sarcoidosis-1
Author Joachim Feger
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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