März 26, 2019

Case Book

First name and last name
Case 1

34-year-old male with acute myocarditis and preserved LV function (EF 55%)

The red arrow shows:

Case 2

A 75-year-old female patient with suspicion of amyloidosis and mild impaired LV function (EF 52%)

Figure „A“ shows:

Case 3

76-year-old woman with atypical thoracic pain and preserved systolic LV function without wall motion abnormalities.
Example: adenosine perfusion exam performed without rest-perfusion.

Figure „B“ shows:

Case 4

69-year-old man with progressive dyspnea and dilated left ventricle in ECHO

Figures show:

Case 5

67-year-old woman with acute thoracic pain

The red arrow shows:

Case 6

76-year-old woman with typical thoracic pain and progressive dyspnea since 4-6 months
In ECHO suspected aortic valve stenosis

Figure „C“ shows:

Case 7

48-year-old man with acute (antero-anteroseptal) myocardial infarction and preserved LV function, EF 57%

Figure „B“ shows:

Case 8

The same patient, 48-year-old man with acute (antero/ anteroseptal) myocardial infarction and preserved LV function, EF 57%

Figure „A“ shows:

Case 9

54-year-old woman with progressive dyspnea and unexplained structure in echocardiography

Figure A: 3-chamber view; SSFP cine; mass in the left atrium
Figure B: 4-chamber view; T2-weighted image mass with hyperintense signal comparison to the myocardium
Figure C: 2-chamber view; Late Gadolinium Enhancement mass with isointense in comparison to the myocardium

The findings are highly suspected to be a:

Case 10

32-year-old man with unclear palpitations and dyspnea during stress.
Family history: father- sudden cardiac death at the age of 55.

The image is typical for:

Case 11

32-year-old woman after viral infection with fever and thoracic pain

The figure shows:

Case 12

46-year-old man, smoker with poorly controlled blood pressure and progressive angina pectoris

The image shows:

Case 13

25-year-old man with progressive dyspnea during exercise and normal coronary arteries (cath).
LV-EF 20%. End-diastolic volume index 1.6 ml/m2 (norm value: 1.2)

A typical sign for:

Case 14

Late Gadolinium Enhancement images show

a typical sign of:

Case 15

28-year-old man with atypical angina pectoris and palpitations

Figures show:

Case 16

57-year-old man with acute chest pain

Figures show:

Case 17

46-year-old male, with known aortic valve insufficiency

Images show:

Case 18

76-year-old woman after emotional stress, with atypical thoracic pain and troponine elevation. No coronary stenosis. The CMR image shows an apical ballooning.

The images are typical for:

Case 19

47-year-old man after heart attack 4 months ago and apical acinesia

The arrow shows:

Case 20

64-year-old man with typical thoracic pain and preserved systolic LV function.
Adenosine perfusion.

The arrow shows:

Case 21

The white arrows on 4CV-Cine image („A“) indicate a right heart dilatation.
The red arrow on Cine image („B“) – short axis - shows a „D-Sign“.
These changes are pathognomonic for

Case 22

The red arrow shows:

Case 23

Late Gadolinium Enhancement (LGE) images in „A“ 2CV, „B“ short axis show:

Case 24

To differentiate acute and chronic myocardial infarction applying CMR, the following sequences may be helpful, except:

Case 25

The white arrow shows:

Case 26

The images show:

Case 27

The images show:

Case 28

The figure above shows:

Case 29

The arrows show:

Case 30

Continuation of case no. 29

Images above show:

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