Caseous Intracardiac Calcification: A Diagnostic Enigma

Figure 2

(a) Magnetic resonance T1-weighted spin echo demonstrating multiple low signal lesions throughout the left ventricular myocardium (), consistent with extensive infiltrative calcification of the myocardium. (b) Magnetic resonance phase-sensitive inversion recovery late gadolinium enhancement demonstrating a heterogenous composition to the intramyocardial lesions within the nulled myocardium (^), suggestive of caseating calcification within the myocardium (four-chamber view Siemens Avanto 1.5 Tesla).

(a)

(b)