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A low signal is seen in the mitral annulus suggestive of mitral annular calcification. There is a small mass 5 x 7 mm arising from the posterior part of the mitral annular calcification on the atrial side and has mild mobility. These findings are correlated with transesophageal echocardiogram findings of significant mitral annular calcification with a mobile component seen on the transesophageal echocardiogram. MRI is not best for evaluation of calcification.
However, these findings appear to be consistent with significant mitral annular calcification with a mobile component. There is no evidence of left atrial mass or myxoma. The mitral leaflets appear to be normal.
3D heart and SSFP sequences obtained.