Intra cardiac mass--a diagnostic and therapeutic dilemma

We report an unusual case of previously healthy post partum woman who had presented with congestive cardiac failure. She had no significant past history.

She underwent cardiac evaluation. Echo showed severe left ventricular dysfunction and multiple mobile masses in the left ventricle. Cardiac MRI was done to assess the intracardiac mass.

Cardiac MRI helped in differentiating clot from intra cardiac tumor. She was effectively treated with anticoagulants.

Cardiac MRI is a useful investigative modality to differentiate intracardiac tumor and clot and helps in guiding the management.