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Fig. 2 —Contrast-enhanced CT scan of thorax in 49-year-old man with recurrent congestive heart failure. Axial 5-mm-thick image at level of both ventricles shows dilated left ventricle with relative preservation of myocardial thickness (arrow), evoking possibility of dilated and hypertrophic cardiomyopathy of left ventricle. Such an appearance would be compatible with mixed ischemic and alcoholic cardiomyopathy.