Lipomatous hypertrophy of the interatrial septum

Case contributed by Dr Vincent Tatco

Presentation

Diagnosed with chronic venous insufficiency. Elevated D-dimer. Rule-out pulmonary embolism.

Patient Data

Age: 70 years old
Gender: Female

There is fat-attenuating thickening of the interatrial septum with sparing of the fossa ovalis compatible with lipomatous hypertrophy of the interatrial septum.

Other findings:

  • negative for pulmonary thromboembolism
  • abdominal fat herniating into the lower mediastinum through the esophageal hiatus
  • heterogeneous bone densities with mixed lucent and sclerotic foci for which correlation with bone scan was suggested

Case Discussion

Lipomatous hypertrophy of the interatrial septum is a benign condition characterised by mass-like fatty deposits in the interatrial septum with sparing of the fossa ovalis.

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Case information

rID: 46313
Case created: 30th Jun 2016
Last edited: 8th Jul 2016
Systems: Cardiac, Chest
Inclusion in quiz mode: Included

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