Hello, my name is Jonathan Lu. I am a cardiovascular radiology fellow here at Stanford University. This is a case of a 19-year-old cross-country athlete with virus-induced cardiac symptoms concerning for viral myocarditis. The patient in this case received SINAE images of the mid-heart short axis. Here on these two images we see mild dilation of the right ventricle, but normal appearing left ventricle with normal thickness of the left ventricular myocardium. On a different patient, a 22-year-old patient with viral symptoms, on our T2-weighted sequences we see increased signal within the mid-heart inferior and infralateral walls concerning for myocardial edema. On our delayed gadolinium enhancement images we see mid-myocardial patchy delayed gadolinium enhancement. On a third patient with hypertrophic cardiomyopathy we see marked thickening and hypertrophy of the intraventricular septum. On our delayed gadolinium enhancement images we see delayed gadolinium enhancement at the insertion points of the right ventricle.

2nd Edition, CASE 06

2nd Edition

Cardiac

cardiovascular radiology

viral myocarditis

myocardial edema

hypertrophic cardiomyopathy

advanced imaging techniques