endomyocardial fibrosis

59-year-old woman (patient 15) with multiple strokes due to embolism from histologically proven endomyocardial fibrosis in right and left ventricles. Contrast-enhanced turbo FLASH images in horizontal long-axis orientation immediately after injection of gadopentetate dimeglumine (A), 4 min after injection (B), and 11 min after injection (C) are shown. Thrombotic and fibrotic material in both ventricles reveals no early perfusion, whereas it enhances centripetally during course of several minutes, indicating partly fibrotic organization of thrombi.