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Updated: Mar 15, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Aortic aneurysm mimicking a right atrial mass.
Ahmed Mohamed1, Mahmoud Elsayed1, Rajat Kalra1
1Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama.
Aortic root aneurysm can mimic a right atrial mass on echocardiography. Careful imaging revealed the mass-like effect was caused by the aneurysm pressing on the atrium.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Echocardiography is a key diagnostic tool for cardiac abnormalities.
- Distinguishing between cardiac masses and extrinsic compression is crucial for accurate diagnosis.
Observation:
- A 54-year-old female patient presented with a suspected cystic mass in the right atrium.
- Initial two-dimensional transthoracic echocardiography suggested a cardiac mass.
Findings:
- Off-axis imaging and precise transducer angulation clarified the initial observation.
- The apparent mass was identified as an aortic root aneurysm causing extrinsic compression on the right atrium.
Implications:
- This case highlights the importance of advanced echocardiographic techniques in differentiating cardiac masses from extrinsic structures.
- Accurate diagnosis of aortic root aneurysm is vital for appropriate management and preventing misdiagnosis of intracardiac tumors.
Related Concept Videos
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Aortic Regurgitation I: Introduction
Aneurysm I: Introduction
Mitral Stenosis II: Clinical features and Diagnostic Tests
Mitral Stenosis I: Introduction

