Figure 1: Typical patterns of late Gadolinium enhancement observed in a 69-year-old-patient with modestly reduced LV function (45%). Layer-shaped area in the proximal septum (�midwall sign�, double arrows), consistent with non-ischemic injury to the middle, cylindrical layer of septal myofibers. In addition, notation of mild pericardial thickening and pericardial enhancement (single arrow).