“…Echocardiographic abnormalities are detected in 24-77% of patients with CS (7,(62)(63)(64). These abnormalities include abnormal septal thickening or thinning, dilatation and systolic dysfunction of the LV, regional wall motion abnormalities without involvement of the coronary arteries, a focal intracardiac mass caused by a large granuloma, diastolic dysfunction, valvular regurgitation, papillary muscle dysfunction, pericardial effusions, and macroscopic areas of bright echoes indicating granulomatous inflammation (a speckled or snowstorm pattern) (1,3,7,31,33,42,(65)(66)(67). Further investigation is necessary if a patient has extracardiac sarcoidosis with abnormal 2-D echocardiographic findings and subtle abnormalities in diastolic flow patterns (7).…”