Abstract
Atrial myxomas often show contrast enhancement following administration of intravenous gadolinium, whereas thrombus appears as a hypointense structure, typically without any contrast enhancement. This case report presents a diagnostic challenge involving a recently developed left atrial mass in which echocardiography and cardiac MRI provided discordant results. While the morphological characteristics of the new left atrial lesion were suggestive of myxoma, the signal characteristics and behavior following intravenous gadolinium at MR, and, in particular, the rapid interval appearance of the lesion, prompted consideration for left atrial thrombus. Subsequent intra-operative and histopathologic evaluation proved the mass to be a left atrial myxoma.
Similar content being viewed by others
References
Sparrow PJ, Kurian JB, Jones TR, Sivananthan MU (2005) MR imaging of cardiac tumors. Radiographics 25(5):1255–1276
Attili AK, Gebker R, Cascade PN (2007) Radiological reasoning: right atrial mass. AJR Am J Roentgenol 188(6 Suppl):S26–S30
Iga K, Izumi C, Konishi T (1997) Rapid growth of a left atrial myxoma. Serial two-dimensional echocardiographic observation over 18 months. Int J Cardiol 61(1):85–87
Roudaut R, Gosse P, Dallocchio M (1987) Rapid growth of a left atrial myxoma shown by echocardiography. British Heart J 58(4):413–416
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Pandit, A., Panse, P.M., Aryal, A. et al. A new intracavitary lesion at echocardiography and MR: a case of mistaken identity. Int J Cardiovasc Imaging 29, 1203–1205 (2013). https://doi.org/10.1007/s10554-013-0244-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10554-013-0244-4