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Figure 15: Cardiac involvement in 53 year old female with PSS. (a) Short-axis view of delayed enhancement MRI shows patchy areas of linear mid myocardial enhancement (straight arrows) in the mid ventricular septum and the lateral wall. There is also a moderate sized circumferential pericardial effusion (curved arrow). (b) 3 chamber delayed enhancement MRI shows patchy areas of linear mid myocardial enhancement (straight arrows) and a circumferential pericardial effusion (curved arrow)

Figure 15: Cardiac involvement in 53 year old female with PSS. (a) Short-axis view of delayed enhancement MRI shows patchy areas of linear mid myocardial enhancement (straight arrows) in the mid ventricular septum and the lateral wall.
There is also a moderate sized circumferential pericardial effusion (curved arrow). (b) 3 chamber delayed enhancement MRI shows patchy areas of linear mid myocardial enhancement (straight arrows) and a circumferential pericardial effusion
(curved arrow)