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DIAGNOSIS:

3. Sarcoidosis

Fig. 2
Fig. 2: Short axis delayed hyperenhanced inversion recovery images show mid-myocardial enhancement in the septum (red arrow)


Both short axis images show mid-myocardial enhancement in the septum on the delayed hyperenhanced inversion recovery (IR) images.

This is abnormal. Of the conditions mentioned above, arrhythmogenic right ventricular dysplasia predominantly shows enhancement in the right ventricular walls, which is absent. Infarction always shows subendocardial enhancement.

Mid-myocardial enhancement typically occurs with infiltrative or inflammatory cardiomyopathies and reflects the presence of inflammation, infection or fibrosis. Sarcoidosis is a typical cardiomyopathy that presents in this manner.

This patient had presented with supraventricular tachycardia and also had non-necrotic bilateral hilar nodes.

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PubMed References for Sarcoidosis

At any given time this link will provide references from Pubmed, including the most recent updates. Retrievals are designed to include articles available free and also Indian studies.

The following radiologists have answered this quiz correctly.

Names

Ajitsinh Jemalbhai Vahder

Alluri Ramadevi

Aparna Arope

Arpita Singh

ASHISH GUPTA

Ashwani Singh Rathor

Denis Regent

Edmund Moses

Esakkiammal.P.

Gaurav Goel

Gilles Genin

Girish Yevankar

Gurdeep Chhabra

I K Indrajit

Kalyan Paudel

Kiran Parmar

M S Gayathri

Madhukar B K

Mrudula Bapat

Nabil Sherif

Paresh Desai

Puneet Bhargava

Rajneesh Galwa

Rakshit Kumar

Ram Prakash Galwa

Ramya Santhosh

Roy Thomas

Sharath Kumar G G

SP Manickam

Tariq Matin

Umamaheshwari K B

vasanthakumar v

Wangju Sumnyan

Yadav Munde

 

 

 

 









 





 
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