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Contrast-cardiovascular magnetic resonance (CMR) provides the opportunity to visualise myocardial fibrosis and scarring in vivo by virtue of late gadolinium enhancement (LGE) in atherosclerotic coronary artery disease (CAD), as well as in a variety of other structural cardiac diseases such as hypertrophic cardiomyopathy (HCM). However, LGE in CAD and HCM differ considerably with respect to location, pattern and often signal intensity.1 2 Recently, we have encountered a unique circumstance in which two patients each had CAD and prior myocardial infarction, as well as HCM. In both patients, independent areas of LGE were evident in the left ventricular …
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