Figure 10: Atypical presentation of cardiac sarcoid in a 62-year-old woman with history of heart block: (a) Short axis phase sensitive inversion recovery sequence show a full thickness transmural enhancement in the mid-part of antero- and inferoseptal segments. (b) Short axis phase-sensitive inversion recovery sequence shows wall thickening and transmural enhancement in the mid-inferolateral and inferior segments. Although the enhancement patterns are suggestive of an infarct, the patchy in a non-vascular distribution is suggestive of non-ischemic pattern of enhancement. Biopsy showed cardiac sarcoidosis