Pericardial Tamponade following Asymptomatic SARS-CoV-2 Infection: A Diagnostic Journey

Figure 3

Cross-sectional studies confirmed myocardial inflammation. (a–d) Cardiac magnetic resonance imaging showing right ventricular hypertrophy (a, SSFP cine, ), increased T1 relaxation time (septal: 1062 ms, LV posterior wall: 1118 ms) and ECV of 33% (b, T1 map), increased T2 relaxation time to 52 ms septal and 60 ms in LV posterior wall (c, T2 map) and right ventricular, diffuse septal and left ventricular posterior wall late gadolinium enhancement (c, PSIR LGE, arrows) indicating myocarditis and diffuse biventricular fibrosis. (e, f) Positron emission tomography with computed tomography showing FDG uptake in the right ventricular myocardium (SUVmax 5.3), left ventricular uptake was within normal limits.

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