Left atrial myxoma

Case contributed by Dr Ian Bickle

Presentation

Elderly lady presented with features of an embolic stroke

Patient Data

Age: 75
Gender: Female
Modality: CT

The patient underwent an echograph prior to the CT study.

Case Discussion:

The majority of cardiac myxomas occur within the left atrium. They are typically low attenuation and may contain areas of dystrophic calcification. They arise from the intra-atrial septum and are usually well defined with a smooth border. Usually, there is no evidence of enhancement following contrast.

The differential for an intrachamber cardiac mass includes: thrombus, lipoma, metastasis, lymphoma and primary tumours, such as a myxoma. 

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Case Information:

rID: 20749
Diagnostic certainty: Almost Certain
System: Cardiac
Inclusion in quiz mode: Included

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