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Apical Hypertrophic Cardiomyopathy (HCM) with Aneurysm

Imaging findings

Classic apical HCM with mid-myocardial enhancement, an apical aneurysm, and an associated apical thrombus visible on delayed enhancement imaging.

Key takeaways

Apical HCM can be associated with RV involvement and significant apical dyskinesis, potentially leading to the formation of aneurysms and mural thrombi.

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