Figure 2
From: Arrhythmogenic Left Ventricular Cardiomyopathy: A Clinical and CMR Study

A typical case of arrhythmogenic left ventricular cardiomyopathy in a 54 year-old male patient with frequent ventricular premature beats and syncope. Four chamber view of (A) End-diastolic SSFP cine, (B) End-systolic SSFP cine, (C) Late gadolinium enhancement imaging (LGE) (D) T1 weighted image and (E) fat image from water-fat separation imaging all show fibro-fatty infiltration in the interventricular septum and the epicardial LV lateral wall. Note that the contour of the lateral LV wall is irregular with a “serrated” shape. LGE shows significantly delayed enhancement of the LV basal to mid lateral wall, interventricular septum and adjacent anterior wall. (F) Histology of endomyocardial biopsy shows areas of fibro-fatty infiltration and replacement of the myocardium.