Key result
Multimodality imaging with echo, CMR, and PET accurately differentiates right atrial thrombi from tumors.
Why the study?
Right atrial masses pose three major diagnostic possibilities, including tumors, thrombi, or vegetations, presenting a diagnostic challenge.
Case Report (n=2)
A multimodality imaging approach is essential for the proper diagnosis and therapeutic decision-making of right atrial masses.
Supports multimodality imaging for right atrial masses; hypothesis-generating and should not yet change practice.
Right atrial masses raised pose 3 major possibilities including tumors, thrombi, or vegetations. We present 2 cases: first, a 34-year-old male with no medical history, who presented with dyspnea, pleuritic pain, and fever; and the second, 65-year-old male with similar symptoms and a history of a left renal carcinoma. Both patients had right atrial masses found on a transthoracic echocardiogram. Cardiac magnetic resonance imaging and an 18 FDG-PET were necessary finding thrombi in the first patient; and tumoral thrombi in the second one. A multimodality imaging approach to right atrial masses is essential for proper diagnosis and therapeutic decision-making.
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Medina-Mur et al. (2022) conducted a case report in Right atrial mass (n=2). Multimodality imaging was evaluated. Multimodality imaging, including echocardiography, cardiac magnetic resonance, and 18F-FDG PET, is essential for accurately diagnosing and differentiating right atrial masses such as thrombi and tumors.
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