A patient undergoing chemotherapy for multiple myeloma had a sudden onset of heart failure. Cardiac magnetic resonance was performed after echocardiography to rule out myocardial late enhancement, which was not detected. In- terestingly, the inversion time of the T1-weighted inversion recovery late enhancement sequence needed to be significantly increased (from the usual 250–300 to 490 ms) to obtain diagnostic images. This report presents the clinical case of this patient, and discusses potential implications.

Keywords: cardiac imaging techniques • multiple myeloma • chemotherapy • heart failure