ARRS Case of the Week

CARDIOVASCULAR IMAGING

Case Authors: Amar Shah, MD, North Shore–Long Island Jewish Health System–Sandra Atlas Bass Campus

History

55-year-old patient with abnormal echocardiographic findings.

Imaging Findings

Three-chamber steady-state free precession image (A) shows a dilated left ventricle with a broad-based, focal outpouching (arrow) arising from the midinferior wall. Three-chamber gadolinium-enhanced image (B) shows delayed enhancement of the focal outpouching (arrow) and foci of subendocardial and transmural enhancement in the left ventricular anterior wall and apex.