Background: Cardiac involvement in sarcoidosis is associated with a poor prognosis. In patients with right sided\r\nheart failure, differentiating between cor-pulmonale, or cardiac sarcoidosis has important implications to\r\nmanagement.\r\nCase presentation: We present the case of a patient with severe but stable pulmonary sarcoidosis and new onset\r\nright sided heart failure despite only mild elevations of pulmonary artery pressure. CMR demonstration of extensive\r\nright ventricular fibrosis with associated dilatation and hypokinesis was a key finding for prognosis and\r\nmanagement of the patient.\r\nConclusion: Cardiac magnetic resonance (CMR) is the preferred investigation in the diagnosis of cardiac sarcoidosis,\r\nallowing assessment of myocardial inflammation and fibrosis, as well as function, in a manner not matched by\r\nother technologies.
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