Restrictive cardiomyopathy (amyloidosis). (A) Parasternal long axis; (B) magnified apical four-chamber view. Note massive thickening of left ventricular walls with bright echo texture (‘granular sparkling’), and pericardial effusion (arrow). (C) Reduced systolic and early diastolic longitudinal tissue velocities from basal septum and basal lateral wall (note scale).