case_images: PMC6387729_01
case_images: ECG findings upon admission: sinus rhythm with ST elevation (ST 2 mm in I, II, aVL, and V4-V6).
case_images: CRIM2019-3701016.001.jpg
case_images: PMC6387729_01_CRIM2019-3701016.001.jpg
case_images: fig1
case_images: Electocardiography (ECG) revealed a sinus rhythm with ST elevation (ST 2 mm in I, II, aVL, and V4-V6) (Figure 1).
case_images: T2 STIR sequence, showing localized high intensity signal on the lateral midepicardial wall of the LV, corresponding to inflammation edema. Hyperemic post-Gad sequence: high intensity signal in the midmyocardial segment of the midlateral LV wall, corresponding to inflammation and/or fibrosis.
case_images: CRIM2019-3701016.002.jpg
case_images: PMC6387729_01_CRIM2019-3701016.002.jpg
case_images: fig2
case_images: Accordingly, a cardiac MRI using delayed enhancement was performed (Figures 2 and 3) revealing recent myocardial damage with edema and fibrosis in the middle and upper left and right lower wall and increased left ventricular dimensions with normal systolic function.  In addition, cardiac MRI revealed overriding of the right ventricle with normal systolic function
case_images: Small bilateral pleural effusion and localized pericardial effusion around the anterolateral RV wall.
case_images: CRIM2019-3701016.003.jpg
case_images: PMC6387729_01_CRIM2019-3701016.003.jpg
case_images: fig3
case_images: Accordingly, a cardiac MRI using delayed enhancement was performed (Figures 2 and 3) revealing recent myocardial damage with edema and fibrosis in the middle and upper left and right lower wall and increased left ventricular dimensions with normal systolic function.  In addition, cardiac MRI revealed overriding of the right ventricle with normal systolic function