Two patients with eosinophilic endomyocardial disease related to perip
heral T-cell lymphomas are reported. Both patients were free of cardia
c symptoms at presentation and during follow-up. Routine two dimension
al echocardiography revealed bi-apical ventricular obliteration, which
was also seen on MR imaging. On the T1-weighted sequence, the thicken
ed endocardium appeared with an isointense signal. Gadolinium DOTA pro
vided an enhanced contrast of the internal part of the left ventricula
r wall. On T2-weighted sequence, a thin hypointense curvilinear struct
ure drew a dividing line between the internal, endocardial, and the ex
ternal, myocardial area. Left-ventricular systolic and diastolic funct
ions remained unaltered during subsequent follow-up.