PMID- 28465886 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2211-4122 (Print) IS - 2347-193X (Electronic) IS - 2211-4122 (Linking) VI - 23 IP - 2 DP - 2013 Apr-Jun TI - Cardiac Magnetic Resonance: One Slice, Two Different LGE Patterns. PG - 66-68 LID - 10.4103/2211-4122.123033 [doi] AB - A 56-years-old man with previous myopericarditis (10 months earlier, coronary angiography not performed) was admitted because of pericarditis pain and ST segment elevation, together with myocardial necrosis markers rise. Electrocardiogram (EKG) showed negative T waves in lateral and inferior leads; echocardiogram showed mild pericardial effusion and inferior and lateral basal hypokinesis. Cardiac magnetic resonance imaging (CMRI) on day 7 post-admission showed increased T2-short tau inversion recovery (T2-STIR) signal of inferior wall and two different noncontiguous late gadolinium enhancement (LGE) areas: Ischemic-like with about 75% transmural extension (inferior wall) and subepicardial (inferolateral wall) along with pericardial LGE (inferior and inferolateral wall). Coronary angiography showed three vessel disease. Pathogenetic hypothesis of these unexpected findings are discussed. This case shows again the ability of CMRI to unreveal unusual and unexpected pathologic patterns. FAU - Gibelli, Giuseppe AU - Gibelli G AD - Department of Cardiology, S Carlo Clinic, Paderno Dugnano-Milano, Italy. FAU - Gentile, Francesco AU - Gentile F AD - Department of Cardiology, Bassini Hospital, Cinisello B.-Milano, Italy. FAU - Lippolis, Antonio AU - Lippolis A AD - Department of Cardiology, Bassini Hospital, Cinisello B.-Milano, Italy. FAU - Ornaghi, Maurizio G AU - Ornaghi MG AD - Department of Cardiology, Bassini Hospital, Cinisello B.-Milano, Italy. FAU - Biasi, Salvatore AU - Biasi S AD - Department of Cardiology, S Carlo Clinic, Paderno Dugnano-Milano, Italy. LA - eng PT - Case Reports PL - India TA - J Cardiovasc Echogr JT - Journal of cardiovascular echography JID - 101562228 PMC - PMC5353396 OTO - NOTNLM OT - Cardiac magnetic resonance imaging OT - myocardial infarction OT - myocarditis COIS- Conflict of Interest: None declared. EDAT- 2013/04/01 00:00 MHDA- 2013/04/01 00:01 PMCR- 2013/04/01 CRDT- 2017/05/04 06:00 PHST- 2017/05/04 06:00 [entrez] PHST- 2013/04/01 00:00 [pubmed] PHST- 2013/04/01 00:01 [medline] PHST- 2013/04/01 00:00 [pmc-release] AID - JCE-23-66 [pii] AID - 10.4103/2211-4122.123033 [doi] PST - ppublish SO - J Cardiovasc Echogr. 2013 Apr-Jun;23(2):66-68. doi: 10.4103/2211-4122.123033.