Cardiac amyloidosis the contribution of images for diagnosis

The restrictive pathologies are a group of diseases of low prevalence. Cardiac amyloidosis is considered to be the prototype of the infiltrative form of restrictive cardiomyopathies. The myocardial involvement is frequent, even at the first appearance of the disease and it has a poor prognosis; and although pleural involvement is less frequent, its presence determines a much more torpid evolution than isolated cardiac presentations. The main problem that these pathologies concern is their late recognition and the consequences this implies in the patient evolution. Nowadays, cardiac images tools may facilitate the diagnosis, allowing an early detection. We share an unusual case of amyloidosis with pleural involvement, where the results of the echocardiogram and the cardiac magnetic resonance allowed an approach to an accurate diagnostic.