case_images: PMC9164915_01
case_images: Myocardial and lung edema in T2 short tau inversion recovery images in short axis (a) and four chamber view (b); higher values of T1 mapping in the affected pulmonary areas in short axis (c) and four chamber view (d); late gadolinium enhancement in the same pulmonary regions (e and f). See text for details
case_images: JCE-32-52-g001.jpg
case_images: PMC9164915_01_JCE-32-52-g001.jpg
case_images: F1
case_images: Specifically, T2 short tau inversion recovery images showed diffuse myocardial and lung edema [Figure 1a and b]. Native T1 mapping assessment within affected lung areas revealed higher values as compared with remote uninvolved ones [Figure 1c and d]; late gadolinium enhancement (LGE) was detected in the same pulmonary regions [Figure 1e and f]. Moreover, CMR showed intramyocardial high signal intensity in the left ventricle [Figure 1a and b], systolic function was reduced (ejection fraction: 40%) with global hypokinesia. On native T1 mapping sequences, modified Look-Locker inversion values were increased [Figure 1c and d], LGE was detected in the damaged areas with subendocardial sparing [Figure 1e and f].