case_images: PMC9927030_01
case_images: Electrocardiogram showing normal sinus rhythm with right axis deviation and right bundle branch block
case_images: cureus-0015-00000033731-i01.jpg
case_images: PMC9927030_01_cureus-0015-00000033731-i01.jpg
case_images: FIG1
case_images: On arrival at the hospital, his electrocardiogram (ECG) showed normal sinus rhythm (NSR) with right axis deviation (RAD) and right bundle branch block (RBBB) (Figure 1).
case_images: Computerized tomography pulmonary angiogram showing centrilobular nodular opacification affecting the right upper and middle lobes as shown by the blue arrow.
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case_images: PMC9927030_01_cureus-0015-00000033731-i02.jpg
case_images: FIG2
case_images: CT pulmonary angiogram showed florid centrilobular nodular opacification affecting the right upper and middle lobes, hilar lymphadenopathy, and anterior abdominal lymphadenopathy suggestive of possible tuberculosis (Figure 2).
case_images: Echocardiography of parasternal long axis view showing normal left ventricular function.. Echocardiography of apical four-chamber view showing good biventricular function.
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case_images: PMC9927030_01_.jpg
case_images: VID1
case_images: Cardiovascular magnetic resonance imaging (CMR) showed normal biventricular function, mild atrial dilatation, and extensive, crescent-shaped, subepicardial late gadolinium enhancement seen in basal to apical inferior, basal to apical lateral, and mid to apical anterior segments (Figures 3-5).
case_images: Cardiovascular magnetic resonance imaging showing extensive crescentic-shaped subepicardial late gadolinium enhancement as shown by the arrow.
case_images: cureus-0015-00000033731-i03.jpg
case_images: PMC9927030_01_cureus-0015-00000033731-i03.jpg
case_images: FIG3
case_images: Cardiovascular magnetic resonance imaging (CMR) showed normal biventricular function, mild atrial dilatation, and extensive, crescent-shaped, subepicardial late gadolinium enhancement seen in basal to apical inferior, basal to apical lateral, and mid to apical anterior segments (Figures 3-5).
case_images: Cardiovascular magnetic resonance imaging (CMR) short axis view showing extensive, crescentic-shaped, subepicardial late gadolinium enhancement from basal to apical inferior, basal to apical lateral, and mid to apical anterior segments as shown by arrows.
case_images: cureus-0015-00000033731-i04.jpg
case_images: PMC9927030_01_cureus-0015-00000033731-i04.jpg
case_images: FIG4
case_images: Cardiovascular magnetic resonance imaging (CMR) showed normal biventricular function, mild atrial dilatation, and extensive, crescent-shaped, subepicardial late gadolinium enhancement seen in basal to apical inferior, basal to apical lateral, and mid to apical anterior segments (Figures 3-5). Chest radiography post-ICD implantation showed satisfactory leads positioning (Figure 5).