Mitral Annular Caseous Calcification: A Rare Variant of a Common Echocardiographic Finding Discovered with Advanced Imaging Techniques
Figure 2
Axial CMR images demonstrating the location of the mass on the posterior annulus that usually is of low intensity signal on T2 and bright signal on T1 (a) and delayed enhancement image at the same location demonstrating external fibrosis with central liquid or proteinaceous core (b). Axial and coronal images of the caseoma with cardiac window on CCTA (kVp = 120 with care dose variable mAs and slice thickness of 0.7mm with 0.4 overlap) with hyper-attenuated homogenous core and calcified edge with Hounsfield unit (HU) 700 ((c), (d)).
