Cardiovascular magnetic resonance of cardiac tumors and masses

Figure 2 Cardiac mass in a 63-year-old male with atrial fibrillation. Transthoracic echocardiography shows (A) a nodular mass that protrudes into the left atrium at the inlet of the left appendage. The patient underwent 2 mo of oral anticoagulant therapy, and the “mass” did not change. It was therefore requested a cardiovascular magnetic resonance (CMR) (B: axial cine- steady state free precession (SSFP) with the correspondent perpendicular plane oriented according to the green and orange lines and reported in D, E and F), moreover it was performed a three dimensional-steady state free precession SSFP acquisition with an oriented reconstruction (C). Overall the CMR shows the presence of pseudomass (orange arrow), a prominent coumadin ridge in the roof of the left atrium adjacent to the left upper pulmonary vein.