case_images: PMC10018021_01
case_images: Electrocardiogram recorded during an emergency presentation, showing frequent premature ventricular beats.
case_images: fmed-10-999066-g001.jpg
case_images: PMC10018021_01_fmed-10-999066-g001.jpg
case_images: fig1
case_images: The electrocardiograms were repeatedly showing ventricular arrhythmia, with frequent ventricular premature beats with monophocal pattern, sometimes organized in bigeminism or trigeminism (Figure 1).
case_images: A 24 h recording of electrocardiogram showing frequent premature ventricular beats with unique morphology, mimicking a right bundle branch block.
case_images: fmed-10-999066-g002.jpg
case_images: PMC10018021_01_fmed-10-999066-g002.jpg
case_images: fig2
case_images: Continuous 24-h ECG recording showed the presence of premature ventricular beats also outside the clinically manifest episodes (Figure 2).
case_images: Cardiac magnetic resonance: Hypertrophy localized at the base of the septum, T2 focal edema at the base of the septum, late gadolinium enhancement: homogenous late uptake of gadolinium in the granuloma.
case_images: fmed-10-999066-g003.jpg
case_images: PMC10018021_01_fmed-10-999066-g003.jpg
case_images: fig3
case_images: He interpreted the same images differently, describing the presence of focal edema at the base of the septum in T2 and granulomas with homogenous uptake of gadolinium at the base of the interventricular septum (Figure 3).
case_images: (A-D) HRCT of the lungs: multiple bilateral micronodules predominant in the upper lobes, increased infracarinal lymph nodes.
case_images: fmed-10-999066-g004.jpg
case_images: PMC10018021_01_fmed-10-999066-g004.jpg
case_images: fig4
case_images: The CT scan of the thorax showed multiple micronodules distributed mostly in the upper parts of the lungs, with a perilymphatic distribution, as well as moderately enlarged mediastinal lymph nodes (Figure 4).