Fatty Images of the Heart: Spectrum of Normal and Pathological Findings by Computed Tomography and Cardiac Magnetic Resonance Imaging

Figure 5

Biventricular arrhythmogenic ventricular cardiomyopathy in a 32-year-old man presenting with syncope and familiar history of sudden cardiac death. Cardiac CT with multiplanar reconstruction in short axis plane (a) reveals right ventricular enlargement with diffuse fatty infiltration of the right ventricular free wall (arrows). CMR exam in the same patient with T1-weighted black blood in four-chamber plane (b) illustrates multifocal adipose infiltration of the right ventricular free wall, of the right ventricular apex, and within the left ventricular lateral wall (arrows). A four-chamber black blood T2-weighted image with fat suppression confirms the biventricular myocardial adipose infiltration, with corresponding low intensity signal in the same locations (arrows).

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