Figure 2: Cine sequence, four chamber view. (a) End diastolic frame and (b) systolic frame. Midventricular hypertrophy with septal leftward bulging and hypertrophic double posteromedial papillary muscle are shown; severe systolic obstruction with double-chambered appearance of LV is caused by joining of septum and papillary muscle. Systolic expansion of tinned apex is also shown, as well as apical and mid right ventricle hypertrophy