Case of January 2015

 

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Clinical History


A 38 years old lady with unremarkable past health presented with progressive exertional dyspnea for 1 month. Physical examination revealed elevated jugular venous pressure, bilateral lower limb oedema, bilateral basal crepitations and ascites. Chest X ray showed presence of cardiomegaly, bilateral pleural effusion and congestive lung fields.

 

Cardiac MR was requested for further evaluation of her condition.


Cardiac MR 1aCardiac MC 1b


Selected images from CINE: 4-chamber and basal short-axis



Cardiac MR 2aCardiac MR 2b


Late gadolinium enhancement: 4-chamber and basal short-axis