Figure 2. Cardiovascular magnetic resonance (CMR) demonstrates myocardial changes that reveal the diagnosis. (A) Late gadolinium enhancement CMR revealed acute myocarditis as evidenced by epicardial necrosis and edema of the middle and apical lateral wall (yellow arrowheads), as well as small foci of mid-myocardial necrosis in the apical septum (red arrowheads). (B) Direct T2 quantification confirmed the presence of myocardial edema indicative of acute ischemia in these regions, measuring 84.5±6.3 ms (Region 1), compared with 61.9±4.7 ms in healthy non-ischemic myocardium (Region 2). These findings support the diagnosis of clozapine-induced myocarditis.