← All decks
Radiology
Cardiac Masses
Built from Fundamentals of Diagnostic Radiology
What’s inside
6 sections · 94 slides
Cardiac Masses
Tumors, tumorlike lesions, and how imaging sorts them apart
- Definition of a cardiac mass
- Classification of cardiac masses
- Prevalence and clinical impact
- Overview of cardiac mass subtypes
Imaging Techniques
Echocardiography, cardiac CT, and cardiac MRI
- Detection of cardiac masses
- Initial imaging assessment
- Benign versus malignant imaging features
- Typical locations of common cardiac masses
- Cardiac masses and their relation to the myocardium
- The imaging workup
- Echocardiography: the first test
- Cardiac CT: strengths and limits
- Timing CT contrast to the lesion
- Cardiac MRI: the reference standard
- Key MR sequences for masses
- Cardiac MR sequences for detecting and evaluating masses
- The cardiac MR protocol
- Contrast-enhanced MRI of a mass
- Limits of cardiac MRI
- Summary of cardiac mass imaging features on CT and MRI
- Summary of cardiac mass imaging features on CT and MRI (continued)
Benign Cardiac Tumors
Myxoma, lipoma, fibroelastoma, rhabdomyoma, fibroma, and more
- Myxoma: the most common primary tumor
- Myxoma: sporadic and Carney complex
- Myxoma: the classic clinical triad
- Myxoma: typical location
- Myxoma: shape and embolic risk
- Myxoma on imaging
- Cardiac myxoma
- Villous myxoma with embolization
- Lipoma: an encapsulated fat tumor
- Lipoma on imaging
- Cardiac lipoma
- Papillary fibroelastoma
- Fibroelastoma: location and why it matters
- Fibroelastoma on imaging
- Fibroelastoma versus vegetation
- Valvular papillary fibroelastoma
- Rhabdomyoma: the pediatric tumor
- Rhabdomyoma and tuberous sclerosis
- Rhabdomyoma on imaging
- Cardiac rhabdomyoma
- Fibroma: a fibrous hamartoma
- Fibroma: symptoms and imaging
- Cardiac fibroma
- Hemangioma: a vascular tumor
- Hemangioma on imaging
- Cardiac hemangioma
- Paraganglioma: a neuroendocrine tumor
- Paraganglioma: location and imaging
- Paraganglioma
- Other benign tumors: teratoma and lymphangioma
- Cardiac hamartoma
- Cardiac hamartoma
Malignant Cardiac Tumors
Metastatic disease, sarcoma, and lymphoma
- Metastasis: the most common cardiac mass
- Pathways of cardiac spread
- Routes of cardiac metastasis
- Primary sites of cardiac metastasis
- Symptoms of cardiac metastasis
- Imaging cardiac metastasis
- MRI of metastasis and thrombus
- Cardiac metastasis
- Sarcoma: the most common primary malignancy
- ~40%
- Sarcoma: common features
- Angiosarcoma: the right atrial sarcoma
- Cardiac angiosarcoma
- Left atrial sarcomas versus myxoma
- Left atrial mass: myxoma versus sarcoma
- Summary of cardiac sarcoma subtypes
- Summary of cardiac sarcoma subtypes (continued)
- Primary cardiac lymphoma
- Lymphoma: location, symptoms, imaging
- Cardiac lymphoma
Tumorlike Lesions
Thrombus, lipomatous hypertrophy, vegetations, and pseudomasses
- Thrombus: the most common intracardiac lesion
- Differentiating thrombus from tumor
- Thrombus signal by age
- Telling thrombus from tumor on MRI
- Interventricular thrombus
- Lipomatous hypertrophy of the interatrial septum
- Lipomatous hypertrophy on imaging
- Lipomatous hypertrophy of the interatrial septum
- Large lipomatous hypertrophy of the interatrial septum
- Valvular vegetations
- Pseudomasses: normal right atrial structures
- Cardiac masses: key takeaways
References
Suggested readings from the chapter
- References
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- Brant and Helms' Fundamentals of Diagnostic Radiology