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Zohaib Ahmad

Normal

The MRI shows 3 images with different IR inversion times to try and individualize the maximal nulling of the myocardium prior to the evaluation for delayed gadolinium enhancement.

Our Patient
difficulty with nulling on inversion recovery sequences at different times

We were unable to null the myocardium (both LV and RV) because of diffuse infiltration  This appearance is highly characteristic of amyloid of the heart

Conclusion