An integrated approach for assessing intracardiac mass using multi-imaging modalities: A case report

The differential diagnosis of intracardiac masses range widely including thrombus, primary and secondary cardiac tumors, and tumor-like structures. About 83 years old female presented with chest pain and shortness of breath. She underwent transthoracic echocardiography which showed left atrial mass. She also underwent transesophageal echocardiography which was helpful in more visualization of the mass. She underwent a coronary angiography where the tumor blush was seen. She underwent a cardiac magnetic resonance imaging which revealed an increased gadolinium uptake within the mass. Patient remained under the cardiology care with no change in the mass characteristics or development of symptoms related. A cardiac mass pointing toward the diagnosis of left atrial myxoma with supportive findings on the imaging modalities. Cardiac sounding symptoms in patients with cardiac masses need to be accurately investigated. Defining cardiac masses require integrating multiple aspects including the clinical setting, patient age, and the mass full description. Imaging guided stepwise approach can be useful in cardiac mass characterization in absence of biopsy. The role of echocardiography did not diminish in cardiac mass assessment.