Cardiovascular magnetic resonance of cardiac tumors and masses

Figure 11  Sixty-five-year-old female patient with transthoracic echocardiogram finding of irregular mass originates from the right atrium wall with intracavitary expansion. Cardiovascular magnetic resonance with cine-steady state free precession images (A and B) confirms the presence of an infiltrative atrial mass in the proximity of atrio-ventricular sulcus. T1-weighted and short tau inversion recovery images (C and D, respectively) show an heterogenous hyperintense signal intensity due to complex composition of the mass. The mass shows inhomogeneous enhancement at early gadolinium enhancement and late gadolinium enhancement sequences (E and F, respectively). These findings are in keeping with a malignant primary cardiac tumor. The patient underwent myocardial biopsy with diagnosis of angiosarcoma.