Separating Acute Rheumatic Fever from Nonrheumatic Streptococcal Myocarditis

Figure 2

Cardiac MRI showing left ventricular dysfunction with edema and strain abnormalities predominantly in the apical segments suggesting an LAD territory insult. Edema in mid-anterior wall without any late gadolinium enhancement. (a) Increased image intensity of edema-based imaging in the anterior segments. (b) No corresponding late gadolinium enhancement is noted. (c) Movie attached. Still image showing hypokinesis of the anteroapical segments.