Intramyocardial Hemorrhage: An Enigma for Cardiac MRI?

Figure 2

MVO and hemorrhagic areas in patient after reperfused anterolateral STEMI. ((a), (d)) In the anterolateral wall a large transmural hyperintense region and an hypointense core centrally located therein (white arrows) are present on the T2-short time inversion recovery (STIR) images in short axis and four chamber views showing edema on mid-apical anterolateral wall and an hypointense hemorrhagic area within the edema. ((b), (c)) Late gadolinium enhancement images show microvascular obstruction (black arrows), consistent with the hypointense area of haemorrhage, on mid-apical anterolateral wall.

(a)  

(b)

(c)

(d)