Cardiac fibroma

Case contributed by Dr Azza Elgendy

Presentation

Chest pain

Patient Data

Age: 39 year old
Modality: CT

An intramural mass originates from  the free wall of the left ventricle.

Modality: MRI

The mass is isointense to the myocardium. Linear calcification is present. It is isointense to the myocardium on SSFP and doesn't cause contraction deformity. late gad enhancement due to high fibrous and collagen contents. The black blood T2 ( nnot included shows shows areas of t2 shortening due to increased calcium contents. Also helps to differniate from vascular tumors and paraganglioma which are bright on T2. 

Case Discussion

The case is a pathologically proven fibroma. 

Key facts:

  • Intramural mass emanating the free wall of the ventricles  right greater than left.
  • Isodense to the myocardium in CT and isointense in T1 black blood, may be hypintense in T2 due to high fibrous and collagen contents. 
  • calcifications in 25%
  • late Gad enhancement due high fibrous contents. 
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Case Information

rID: 38974
Case created: 14th Aug 2015
Last edited: 9th Mar 2016
Systems: Cardiac, Chest
Inclusion in quiz mode: Included

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