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Parasternal short-axis (PSAX) view. Note thick interventricular septum all wall segments of the free LV with shimmering speckled pattern of the myocardium specific of this illness. Anterolateral papillary muscle is clearly visible secondary to its increased thickness. Hemodynamic consequences of this are obvious and described in 14-6. Pericardial effusion is again present, best visible on the bottom of the screen adjacent to the inferior wall (due to accumulation in the dependent position). CMP, cardiomyopathy.