[Endomyocardial fibrosis. Diagnosis by imaging: late gadolinium enhancement].

A 54-year-old woman with a diagnosis of apical hypertrophic cardiomyopathy was referred to the cardiac transplant unit for clinical assessment. Her cardiovascular history included hypertension and 2 prior hospitalizations for heart failure. Her anamnesis was notable for an episode IMAGE IN CARDIOLOGY of hepatic failure and hypereosinophilia following ingestion of watercress 15 years before. Later, the imaging studies, particularly contrast-enhanced transthoracic echocardiography (Figure 1), disclosed mid-apical obliteration of the left ventricle, which was also observed