Panel A. 72 year old female with known sarcoidosis was found to have patchy areas of delayed hyper enhancement (blue arrows) in the lateral wall of the left ventricle at cardiac MRI. Panel B. Three months after pacemaker placement which precluded repeat MRI (green arrow), the patient developed symptoms warranting analysis for cardiac sarcoid progression. MDE by cardiac CT shows corresponding patches of delayed hyperenhancement (red arrows) which confirmed stable involvement since the recent cardiac MRI.