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Cardiac Sarcoidosis — EECC MCQ

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ModerateCardiac ImagingCardiac SarcoidosisEECC

A 55-year-old man with suspected cardiac sarcoidosis undergoes cardiac MRI. Which LGE pattern is most characteristic of cardiac sarcoidosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Mid-wall or epicardial LGE with predilection for the basal septum

Explanation lettering: C = shown as A · D = shown as C · A = shown as D

Cardiac sarcoidosis characteristically shows patchy, mid-wall or epicardial LGE with a predilection for the basal septum and lateral wall. Subendocardial LGE in a coronary territory (A) indicates ischaemic heart disease. Diffuse circumferential subendocardial LGE (C) is typical of amyloidosis. RV insertion point LGE (D) is seen in pulmonary hypertension. Apical transmural LGE (E) may suggest apical HCM or infarction.

Reference: ESC (2023): Guidelines for the Management of Cardiomyopathies