EURORAD ESR

Case 11777

Recent onset of cardiac failure in a young athlete (ECR 2014 Case of the Day)

Author(s)
Benjamin COQUART, Alexis JACQUIER

Service de Radiologie des Pr Moulin et Bartoli;
265 rue St Pierre 13385 Marseille Cedex 5;
Email:alexis.jacquier@ap-hm.fr
 
Patient
male, 36 year(s)
 
 
  • Figure 1
    Steady-state free precession

    Steady-state free precession image in 4 chambers view in enddiastoly showing cardiac enlargement.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;
     
     
  • Figure 2
    Steady-state free precession

    Steady-state free precession image in 2 chamber view at enddiastoly showing cardiac enlargement.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;
     
     
  • Figure 3
    Late gadolinium enhancement

    Late gadolinium enhancement image with phase-sensitive inversion recovery in short axis view showing mid myocardial enhancement of the LV myocardium (thin arrows). Note that the enhancement is transmural at the...

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;
     
     
  • Figure 4
    Scout image

    Scout image showing lung involvement.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;
     
     
  • Figure 5
    Thoracic CT

    Thoracic CT, showing lung involvement as well as mediastinal and hilar lymph nodes.

     
    Area of Interest: Lymph nodes; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;
     
     
  • Figure 6
    Thoracic CT

    Thoracic CT, lung windowing, showing micronodulation with lymphatic distribution.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;
     
     
  • Figure 7
    44-year-old male patient

    44-year-old male patient, recent onset of an AV bloc, MRI = no oedema on T2 image (left), septal enhancement (arrows) is visible on late gadolinium enhancement image (right). Biopsies confirmed the diagnosis of...

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;
     
     
  • Figure 8
    45-year-old male patient

    45-year-old male patient with a known sarcoidosis and a recent onset of dyspnoea. MRI reveal RV enlargment (left), and diffuse late gadolinium enhacement on the right and the left ventricles (right).

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders;
     
     
Steady-state free precession image in 4 chambers view in enddiastoly showing cardiac enlargement.
 
Steady-state free precession image in 2 chamber view at enddiastoly showing cardiac enlargement.
 
Late gadolinium enhancement image with phase-sensitive inversion recovery in short axis view showing mid myocardial enhancement of the LV myocardium (thin arrows). Note that the enhancement is transmural at the inferoseptal region.
 
Scout image showing lung involvement.
 
Thoracic CT, showing lung involvement as well as mediastinal and hilar lymph nodes.
 
Thoracic CT, lung windowing, showing micronodulation with lymphatic distribution.
 
44-year-old male patient, recent onset of an AV bloc, MRI = no oedema on T2 image (left), septal enhancement (arrows) is visible on late gadolinium enhancement image (right). Biopsies confirmed the diagnosis of cardiac sarcoidosis.
 
45-year-old male patient with a known sarcoidosis and a recent onset of dyspnoea. MRI reveal RV enlargment (left), and diffuse late gadolinium enhacement on the right and the left ventricles (right).
 
 
 
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