Tongue Squamous Cell Carcinoma With Cardiac Metastases

Figure 1. Coronary Angiography (A) Dominant right coronary circulation. (B) Left main coronary system. (C) Intravascular ultrasonography image of distal left anterior descending. No evidence of obstructive coronary artery disease.

Figure 2. CMR and FDG-PET Images (A) SSFP 4-chamber view demonstrating distal septal and basal anterolateral mass. (B) Corresponding T2-weighted 4-chamber view with hyperintense signal in the lesions above. (C), DE 4-chamber image revealing areas of delayed hyperenhancement in the distal septal and basal anterolateral wall. (D) FDG-PET/CT showing avid FDG uptake in the lesions noted on CMR above. (E) SSFP SAX image revealing distal septal and basal antero-lateral lesions. (F) T2-weighted SAX image delineating the lesions. (G) DE SAX image. (H) FDG-PET/CT image of the distal septal and basal antero-lateral lesions. The findings are strongly suggestive of metastatic disease. CMR = cardiac magnetic resonance; DE = delayed enhancement; FDG = fluorodeoxyglucose; PET = positron emission tomography; SAX = short axis view; SSFP = steady state free precession sequence.