Invasive Cardiac Lipoma Complicating Visceral Inversion

Figures

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  Figure 1. Multimodality Imaging of Invasive Cardiac Lipoma Complicating Visceral Inversion The red star shows the left ventricle, whereas the yellow star shows the right ventricle. (A) Contrast-enhanced CT demonstrates a 29 × 27 mm low-density mass (mean CT value of -40 HU) in the anterior wall of the apical left ventricle (A, light blue arrow), which shows no contrast enhancement. The anatomy indicates visceral inversion. (B) 18F-fluoro-deoxyglucose positron emission tomography–CT shows no focal uptake in the intracardiac mass (B, light blue arrow). (C and D) Cardiac MRI shows a high intensity in the mass on both of T1WI (C, light blue arrow) and T2WI (D, light blue arrow). (E) The high intensity of the mass was suppressed in the fat-suppressed T1WI (E, light blue arrow). (F) Gadolinium-enhanced T1WI shows no contrast effect in the mass (F, light blue arrow). CT = computed tomography; MRI = magnetic resonance imaging; T1W1 = T1-weighted image.