Accordion Sign of Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) on Cardiac MRI 30-year old woman with VPCs. Diagnosis? Classic ARVC! SSFP cine images show the "accordion " sign of small RV free wall aneurysms, interspersed with more normal tissue. Fat-suppressed image below shows fatty and fibrous infiltration of the RV myocardium. Eli Gelfand, MD, FACC @the_gelf #Accordion #Sign #ARVC #CardiacMRI #Arrhythmogenic #RightVentricular #Cardiomyopathy #clinical #cardiology