case_images: PMC4607964_01
case_images: Cardiac magnetic resonance imaging (MRI) with gadolinium contrast: evidence of delayed hyper enhancement (arrow) in both the basal and inferolateral left ventricular regions
case_images: PAMJ-21-243-g001.jpg
case_images: PMC4607964_01_PAMJ-21-243-g001.jpg
case_images: F0001
case_images: Cardiac magnetic resonance imaging (MRI) with gadolinium contrast showed evidence of delayed hyper enhancement in both the basal and inferolateral left ventricular regions, suspicious for fibrogranulomatous tissue of sarcoidosis (Figure 1).
case_images: Decreased uptake in the inferolateral and apical ventricular myocardium, which was reversible during stress (reverse distribution) shown on Technetium99m sestamibiscintigraphy myocardial perfusion study
case_images: PAMJ-21-243-g002.jpg
case_images: PMC4607964_01_PAMJ-21-243-g002.jpg
case_images: F0002
case_images: Technetium99m sestamibi scintigraphy myocardial perfusion study showed decreased uptake in the inferolateral and apical ventricular myocardium, which was reversible during stress (reverse distribution) (Figure 2).
case_images: PMC4607964_02
case_images: High-resolution computed tomography scan of the chest showing peribronchial and bilateral hilar lymphadenopathy (arrows)
case_images: PAMJ-21-243-g003.jpg
case_images: PMC4607964_02_PAMJ-21-243-g003.jpg
case_images: F0003
case_images: She had a past history of systemic sarcoidosis diagnosed in April 2009 on the basis of the following compatible clinical and radiologic findings: systemic symptoms (such as fatigue, anorexia, and weight loss), parotid enlargement, negative tuberculin skin test, lymphopenia, hypercalciuria, increased serum ACE level, intrathoracic lymphadenopathies which were hilar (Figure 3), bilateral symmetrical, and associated with right paratracheal window lymph node involvement.