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Case Reports
. 2018 Feb 3;13(2):376-379.
doi: 10.1016/j.radcr.2018.01.011. eCollection 2018 Apr.

Massive mitral annular calcification mimicking intracardiac mass: Multimodality approach to diagnosis

Fabio Caruso  1 , Luisa Ventura  1 , Dafne Viliani  2 , Sabino Walter Della Sala  1
Affiliations
Case Reports

Massive mitral annular calcification mimicking intracardiac mass: Multimodality approach to diagnosis

Fabio Caruso et al. Radiol Case Rep. .

Abstract

The correct differential diagnosis of cardiac masses can be challenging and often carries important clinical implications. We present the case of a 78-year-old man with a cardiac mass of unclear etiology diagnosed on echocardiography. Using a multimodality approach with cardiac magnetic resonance and computed tomography, it was possible to define the real nature of the mass as composed of 2 voluminous calcifications of the mitral annulus.

Keywords: Cardiac magnetic resonance; Cardiac mass; Computed tomography; Mitral annular calcification.

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Figures

Fig. 1
Fig. 1
Transthoracic ultrasound, long-axis projections: hyperechoic cardiac mass (arrows) in a patient with poor acoustic window.
Fig. 2
Fig. 2
Cine magnetic resonance imaging along the short cardiac axis: 2 contiguous hypointense lesions (arrows).
Fig. 3
Fig. 3
T1-weighted scans along the short axis with contrast medium: hypoenhancement in the first pass (A) and in the late phase (B) after contrast medium (masses depicted by arrows).
Fig. 4
Fig. 4
Computed tomography scans: paracoronal plane (A) and parasagittal plane (B): the calcified nature of the lesions is clearly shown (arrows).
See this image and copyright information in PMC

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