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Fig. 4 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 4

From: Cardiac MRI T1 mapping and extracellular volume application in hypertrophic cardiomyopathy

Fig. 4

Case 2: 51-year-old male patient. MRI showed LV hypertrophy having apical distribution, mild RV hypertrophy, maximum thickness of 20 mm affecting the apical segments, mid-cavitary obstruction with LV mass of 189 g (indexed 106 g/m2). I: LGE images at the basal (a), mid-ventricular (b), and apical (c) levels corresponding to the T1 mapping cuts showing faint basal AS segment and inferior insertion point enhancement and patchy enhancement of the apical inferior and lateral segments. II: SSFP images in 4-chamber (a) and 2-chamber (b) end-systolic views showing mid-ventricular to apical hypertrophy with mid-cavitary obstruction. III: pre-contrast (ac) and post-contrast (df) T1 mapping images at the basal (a, d), mid-ventricular (b, e), and apical (c, f) levels. IV: enhancement pattern and values of native T1 and ECV at the basal, mid-ventricular, and apical segments showing the expansion of the ECV and elongation of the native T1 values not only in the segments showing enhancement but in other segments as well

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