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Image challenge
Incidental identification of right atrial mass
  1. Giulia Grazzini,
  2. Silvia Pradella,
  3. Vittorio Miele
  1. Department of Radiology, Careggi Hospital, Florence, Italy
  1. Correspondence to Dr Giulia Grazzini, Department of Radiology, Careggi Hospital, Florence 50134, Italy; grazzini.giulia{at}gmail.com

https://doi.org/10.1136/heartjnl-2020-317119

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    Clinical introduction

    A man in his 70s with acute abdominal pain underwent contrast-enhanced CT (CCT). At the top of the CCT scan, it was incidentally detected a mass in the right atrium (figure 1A,B). The patient suffered from atrial fibrillation. The transthoracic echocardiography confirmed the mass in the right atrium extending to superior vena cava. The patient refused transoesophageal echocardiography. Finally, cardiac magnetic resonance (CMR) was requested (figure 1C–I). The mass was 3×3.5×4.6 cm in size.

    Figure 1

    CT images: basal phase (A) and venous contrast phase (B) CT. CMR four-chamber images (C and D). T1-weighted image (E), T2-weighted image (F) and T2-weighted image with fat saturation (G). Two-chamber early and late gadolinium enhancement images (H …

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    Footnotes

    • Twitter @PradellaSilvia

    • Contributors All authors have substantial contribution to the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.