FIGURE 4 Serial late gadolinium enhancement cardiac MRI scans from a second patient with tubercular myocarditis, showing resolution of myocardial edema but the persistence of fibrosis (R Khurana, unpublished data).
From the following article:
Tubercular myocarditis presenting with ventricular tachycardia
Rohit Khurana, Joseph Shalhoub, Anju Verma, Ravi Assomull, Sanjay K Prasad, Jaspal S Kooner and Amarjit Sethi
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Figure 4. Serial late gadolinium enhancement cardiac MRI scans from a second patient with tubercular myocarditis, showing resolution of myocardial edema but the persistence of fibrosis (R Khurana, unpublished data).
(A) Short axis view using inversion recovery imaging taken at presentation, following the injection of gadolinium. Epicardial late enhancement in the anteroseptal wall of the basal left ventricle is evident, indicating myocardial fibrosis. (B) Horizontal long axis view and (C) short axis view of black blood T2-weighted images, also performed at presentation, demonstrate an increased-intensity signal, suggesting that myocardial edema was present in the area of fibrosis. These images prompted the performance of an endomyocardial biopsy, which confirmed the diagnosis of tubercular myocarditis. (D–F) Equivalent scans performed 9 months after presentation (1 month after initiation of antituberculous treatment) demonstrate the persistence of fibrosis but partial resolution of the myocardial edema. (G–I) Scans repeated 21 months after presentation again demonstrate the persistence of fibrosis, but complete resolution of myocardial edema.