CTICasesCardiac Scleroderma
Imaging findings
Cardiac MRI demonstrates circumferential, non-coronary subendocardial delayed enhancement in the left ventricle, along with diffuse free wall enhancement of the right ventricle, coexisting with a large pericardial effusion, elevated T1 mapping values, and pulmonary hypertension.
Key takeaways
Cardiac involvement in systemic sclerosis (scleroderma) typically manifests as subendocardial fibrosis and microvascular coronary spasm, resulting in a characteristic non-coronary subendocardial delayed enhancement on MRI, which is often associated with pericardial effusions and pulmonary hypertension.
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