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Fig. 1A 50-year-old man with known coronary artery disease and two prior
anterior myocardial infarctions who presents with worsening dyspnea. See also
Figure S1, cine loop, in supplemental data online. Two-chamber views of left
ventricle in diastole and systole using balanced steady-state free precession
(b-SSFP) technique on 3-T MRI scanner show apical left ventricular adherent
mass isointense to myocardium (arrow, A). Apex and anterior
wall of left ventricle are dyskinetic and aneurysmal. Left ventricular cavity
is markedly enlarged (left ventricle end-diastolic diameter, 71 mm), and its
function is impaired (i.e., ejection fraction of 35%).