History: An 80 year old men presented with dyspnea. Echo showed a LA mass. Cine CMR (left) showed a large (7x7x4cm) tumor attached to the fossa ovalis, prolapsing through the mitral valve. Signal intensities: low T1 and high T2 (middle, top and bottom) were also compatible with myxoma, subsequently confirmed at surgery (right). The patient was discharged 6 days after surgery.
Conclusion: CMR can confirm precise morphology and attachments of cardiac masses. Tissue characterisation helps suggest the underlying histology.
CMR system: Philips Intera CV 1.5 T Scanner, Philips Medical Systems