Fig. 3

Cardiac MRI demonstrating myocardial edema and late gadolinium enhancement. (A) Circumferential pericardial effusion and bilateral pleural effusions. (B) Elevated T2 mapping value of 62.8 ms in the septum demonstrates the presence of myocardial edema. (C, D) Mid-wall pattern of late gadolinium enhancement in the mid-inferior left ventricular wall is consistent with a non-ischemic type cardiomyopathy as may be seen in acute myocarditis. The study was partly limited by motion artifact due to patient’s difficulty holding breath likely secondary to bilateral pleural effusions and pericardial effusion