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Results

Cine MRI showed akinesia of the septal wall and severe hypokinesia of the inferoseptal walls (Figure 1). The ejection fraction was 36%. T2-weighted imaging was normal. Coronary magnetic resonance angiography showed no obstructive disease in the proximal or mid segments. Both 2-dimensional and 3D LGE imaging showed subepicardial signal enhancement of the anteroseptal and inferoseptal walls, highly consistent with cardiac sarcoid (Figure 1).