1/ Case of te day, classic #HCM @beamusumeci1 @TiniGiacomo @domitillarusso
2/ Bright area in the LV septum/anteriore wall, seen already from trufi scout ... #WhyCMR
3/ That is edema (T2 STIR)
4/ Classic LGE at insertion points, not so large, not a bad prognostic sign. Edema partly matches scarred area
5/ Native T1 assessed outside scarred area, increased (diffuse fibrosis/edema)
6/ normal T2 in the area of increase T1 (fibrosis more than edema) - increased T2 (>50 msec) within the bright Stir region. Kill the colours by windowing, parametric assesment of T2 maps is more reliable than visual evaluation
The missing T2 map
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