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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