53-year-old female with heart failure

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Summary:

A 53-year-old female presents with new onset systolic heart failure as diagnosed by echocardiography. A cardiac magnetic resonance imaging (MRI) is ordered to evaluate for a cardiomyopathy. (Images are best viewed as cines using the DICOM viewer). If you are unable to use the DICOM viewer, the sequences below are 4-chamber steady-state free precession (SSFP), 2-chamber long-axis SSFP, 2-chamber short axis SSFP at the end diastole and the end systole, and 2-chamber short-axis late gadolinium enhanced images 15 min after the administration of intravenous gadolinium.
Q. What is the most likely diagnosis?




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