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

Figure 8

CMR examination in a 62-year-old woman with idiopathic dilatative cardiomyopathy. Four-chamber T1-weighted black blood image (a) demonstrates left ventricular chamber enlargement with an intramyocardial hyperintense stripe in the interventricular septum. Short axis black blood T2-weighted with fat suppression (b) shows a signal drop of the stripe, confirming the presence of intramyocardial fat. On short axis late gadolinium enhancement T1-weighted sequence (c) the adipose tissue location corresponds to myocardial enhancement due to concomitant intramyocardial fibrosis with mesocardial distribution within the interventricular septum.

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