Multimedia
 | Media file 1: Posteroanterior (PA) chest radiograph shows pulmonary venous congestion and prominence of the left atrial appendage in a patient with a left atrial myxoma obstructing the mitral valve. |
 | Media file 2: Lateral chest radiograph shows prominence of the left atrium (arrow) in a patient with a left atrial myxoma obstructing the mitral valve (same patient as in Image 1). |
 | Media file 3: Cine magnetic resonance angiogram (in early diastole) shows low signal intensity in a sessile left atrial myxoma. |
 | Media file 4: Cine magnetic resonance angiogram of a patient with a left atrial myxoma (in late diastole) shows only minor movement of the tumor during diastole with some loss of signal intensity (arrow), caused by flow dephasing resulting from turbulent flow around the tumor. |
 | Media file 5: Gadolinium-enhanced turbo fast low-angle shot (FLASH) MRI scan of a patient with a left atrial myxoma shows lack of enhancement of the tumor mass (arrow). This is not a uniform finding, as some myxomas show mild contrast enhancement that may allow for differentiation of a myxoma from a thrombus. |
 | Media file 6: T1-weighted turbo spin-echo MRI scan shows intermediate signal intensity in a left atrial myxoma (M) attached to the margin of the fossa ovalis (between the arrows). LA indicates the left atrium; RA, the right atrium; and RV, the right ventricle. |
 | Media file 7: Turbo short-tau inversion recovery (STIR) MRI scan shows high signal intensity in a left atrial myxoma (M) attached to the margin of the fossa ovalis (same patient as in Image 6). |
 | Media file 8: Cine magnetic resonance angiogram shows low signal intensity in a left atrial myxoma (M) surrounded by high signal intensity in flowing blood (same patient as in Images 6-7). LA indicates the left atrium; RA, the right atrium; and RV, the right ventricle. |
 | Media file 9: M-mode echocardiogram in a patient with a left atrial myxoma. Sweep from the left atrium to the mitral valve shows a change in the timing of tumor echoes from systole (in the left atrium) to diastole (through the mitral valve). |
 | Media file 10: Apical 4-chamber 2-dimensional echocardiogram of a left atrial myxoma during ventricular systole shows the echogenic mass of the myxoma (M) in the left atrium. LA indicates the left atrium; LV, the left ventricle; and RA, the right atrium. |
 | Media file 11: Apical 4-chamber 2-dimensional echocardiogram of a left atrial myxoma during ventricular diastole shows the echogenic mass of the myxoma (M) now prolapsing through the mitral valve orifice into the left ventricle (same patient as in Image 10). LA indicates the left atrium; LV, the left ventricle; and RA, the right atrium. |
 | Media file 12: Transesophageal echocardiogam obtained during early diastole in a patient with a left atrial myxoma shows an echogenic tumor mass (M) projecting from the interatrial septum and partially obstructing the mitral valve. The arrows indicate the leaflets and LV indicates the left ventricle. |
 | Media file 13: Transesophageal echocardiogram obtained at end-diastole in a patient with a left atrial myxoma shows that the myxoma (M) has moved toward, but not through, the mitral valve orifice (same patient as in Image 12). LV indicates left ventricle. |
 | Media file 14: Coronal turbo fast low-angle shot (FLASH) MRI scan of a patient with a right atrial lipoma shows a high-signal-intensity mass (L) in the lateral wall of the right atrium. High signal intensity on T1 imaging is strongly suggestive of fatty tissue and identifies this mass as a lipoma. |
 | Media file 15: Axial T1-weighted spin-echo MRI scan of a patient with a retrosternal lymphoma shows intermediate signal intensity in the retrosternal mass of lymphoma tissue (L) and an associated pericardial effusion (arrow). |
 | Media file 16: Spin-echo MRI scan in a patient with hemangiopericytoma shows a large intermediate-signal-intensity retrocardiac mass (*) behind the left ventricle (LV). These signal-intensity characteristics can indicate any of a large number of tissue types. RA indicates the right atrium. |
 | Media file 17: Pregadolinium gradient-echo MRI scan of a patient with hemangiopericytoma shows low signal intensity in the tumor (*). This is the same patient as in Image 16. |
 | Media file 18: Gadolinium-enhanced gradient-echo MRI scan (taken 160 seconds after Image 17) of a patient with a hemangiopericytoma shows slow peripheral enhancement of the tumor mass (*); this indicates only moderate vascularity (same patient as in Image 17). |
 | Media file 19: Digital subtraction angiogram during embolization of a hemangiopericytoma shows selective injection into an internal mammary artery branch. Only mild vascularity (arrows) is noted, as predicted by the contrast-enhancement pattern on the MRIs (same patient as in Images 16-18). |
 | Media file 20: Cine short-axis magnetic resonance angiogram in a patient with a fibroelastoma shows a low-signal-intensity mass (black arrow) projecting from the interventricular septum and projecting into the left ventricle. The moderator band (white arrow) is seen crossing the right ventricular cavity. The moderator band is a normal structure that can sometimes mimic an abnormal mass. |
 | Media file 21: Turbo short-tau inversion recovery short-axis MRI scan of a patient with a fibroelastoma shows a high-signal-intensity mass (arrow) projecting from the interventricular septum into the left ventricle. |
 | Media file 22: Contrast-enhanced CT scan of a patient with an angiosarcoma shows a tumor mass invading the right side of the heart (T) with extension rising up from the inferior vena cava (arrow). A large right pleural effusion and a smaller left pleural effusion are noted. |
 | Media file 23: Oblique 4-chamber turbo short-tau inversion recovery (STIR) MRI scan of a patient with a metastatic leiomyosarcoma shows an apical tumor mass (*) that is invading through the posterior wall of the left ventricle and is associated with a high-signal-intensity posterior pericardial effusion. |
 | Media file 24: Oblique 4-chamber turbo spin-echo MRI scan shows an apical tumor mass (*) that has lower signal intensity than it does in Image 23. Note how this sequence provides less discrimination between the tumor, the normal myocardium, and the pericardial fluid. |
 | Media file 25: Axial T1-weighted turbo spin-echo MRI scan of a patient with a metastatic bronchogenic carcinoma shows a tumor invading the wall of the right atrium with a mass (arrow) in the area of the tricuspid valve. |
 | Media file 26: Oblique 4-chamber turbo short-tau inversion recovery (STIR) MRI scan of a patient with metastatic bronchogenic carcinoma shows the tumor invading the wall of the right atrium and the interatrial septum (same patient as in Image 25). The mass is separate from, but is obstructing, the tricuspid valve (arrows). |
 | Media file 27: Two-dimensional echocardiogram of a hypernephroma invading the inferior vena cava, the right atrium, and the atrial septum. Echogenic material indicates tumor tissue invading the wall of the right atrium (T1) and growing from the inferior vena cava into the right atrial cavity (T2). |
 | Media file 28: CT scan of a pericardial cyst. A well-defined apical mass (C) has the characteristic position and low attenuation of a pericardial cyst. |
 | Media file 29: CT-guided pericardial cyst drainage. By using CT guidance, a pigtail drainage catheter was inserted into the cyst. Approximately 500 mL of clear fluid was aspirated. |
 | Media file 30: CT scan of a pericardial cyst. After drainage, no residual fluid is noted around the pigtail catheter (arrow). |
 | Media file 31: CT scan of a pericardial lipoma. A large, low-attenuating mass extends from the cardiac apex; this finding is characteristic of a lipoma. |
 | Media file 32: Axial T1-weighted turbo spin-echo MRI scan of a patient with a left atrial pseudomass shows expansion (arrow) of the pulmonary vein tissue as it enters the left atrium. |
 | Media file 33: Axial cine magnetic resonance angiogram in a patient with a left atrial pseudomass shows loss of signal intensity caused by turbulent flow (arrows) around the region of the expansion of the pulmonary vein tissue entering the left atrium (shown in Image 32). |
 | Media file 34: Oblique 4-chamber cine magnetic resonance angiogram of a patient with a right atrial pseudomass shows a prominence (arrow) in the right atrium arising from the free wall of the right atrium. This is a prominent ridge resulting from incomplete resorption of the crista terminalis. |
 | Media file 35: Axial T1-weighted turbo spin-echo MRI scan of a patient with a right atrial pseudomass shows a high-signal-intensity prominence (arrow) in the right atrium arising from the free wall of the right atrium, the crista terminalis (same patient as in Image 34). |
 | Media file 36: Axial ECG-gated spin-echo MRI scan shows high-signal-intensity thickening (*) resulting from lipomatous hypertrophy of the interatrial septum. |
 | Media file 37: Coronal turbo spin-echo MRI scan of a patient with a hiatal hernia. Echocardiography suggested a possible tumor mass compressing the posterior part of the heart. On MRI, the rugal folds and fluid contents of the stomach in the hiatal hernia (HH) are clearly demonstrated. |
More on Cardiac Tumors |
| Overview: Cardiac Tumors |
| Imaging: Cardiac Tumors |
| Follow-up: Cardiac Tumors |
 Multimedia: Cardiac Tumors |
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Further Reading
Keywords
cardiac tumor, heart tumor, heart neoplasm, primary cardiac tumors, secondary cardiac tumors, cardiac neoplasms, heart tumors, benign cardiac tumor, heart neoplasm, pericardial tumor, pericardial neoplasm, cardiac masses, pericardial masses, cardiac pseudotumors, myxoma, endodermal tumor, cardiac sarcoma, cardiac valve tumor, pediatric cardiac tumors, cardiac tumors in childhood, rhabdomyosarcoma, pediatric rhabdomyoma
