Fatty Images of the Heart: Spectrum of Normal and Pathological Findings by Computed Tomography and Cardiac Magnetic Resonance Imaging

Figure 10

Lipomatous hypertrophy of the interatrial septum as incidental finding in an asymptomatic 72-year-old female. CT imaging of the heart in precontrast scan (a) and after contrast medium administration (b) in axial views demonstrates a bilobular dumbbell shape hypoattenuating lesion with lobular morphology located within the interatrial septum that appears thickened (arrows). CMR examination requested for a further evaluation confirms the presence of a bilobular mass with corresponding hyperintensity in four-chamber cine-SSFP sequence surrounded by the typical black boundary artefact ((c) arrows) as in T1-weighted black blood image ((d) arrows), with low signal on black blood T2-weighted sequence with fat suppression (arrows).

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