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Figure 2b.  Axial unenhanced T1-weighted (a), fat-saturated T2-weighted (b), and contrast-enhanced T1-weighted (c) MR images show an intramyocardial mass (short straight arrow) arising from the apex of the left ventricle. The free wall of the left ventricle and a portion of the interventricular septum have an irregular, heterogeneous appearance. Pleural (long straight arrow) and pericardial (curved arrow) effusions and numerous subcutaneous lesions of the chest wall (arrowheads) are also seen. Note the intense enhancement of the mass, free wall of the left ventricle, interventricular septum, and chest wall lesions in c.







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