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AJR Teaching File: Right Ventricular Mass Presenting with a Heart Murmur

Robert H. Choplin1 and Mark W. Turrentine2

1 Department of Radiology, 0279, Indiana University School of Medicine, 550 N University Blvd., Indianapolis, IN 46202-5253.
2 Department of Cardio-Thoracic Surgery, Indiana University School of Medicine, Indianapolis, IN.


Figure 1
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  		Fig. 1A —61-year-old woman with left ventricular mass who presents with a heart murmur. Axial view, double inversion recovery sequence, shows mass with relatively homogeneous intermediate signal intensity centrally and slightly higher signal intensity peripherally that involves right ventricular free wall.

 

Figure 2
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  		Fig. 1B —61-year-old woman with left ventricular mass who presents with a heart murmur. Sagittal view, double inversion recovery sequence, shows mass with relatively homogeneous, intermediate signal intensity centrally and slightly higher signal intensity peripherally that involves right ventricular free wall.

 

Figure 3
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  		Fig. 1C —61-year-old woman with left ventricular mass who presents with a heart murmur. Horizontal long-axis view from true fast imaging with steady-state free precession (FISP) sequence shows mass with intermediate signal intensity involving right ventricular free wall. Mass is just distal to but does not involve tricuspid valve annulus.

 

Figure 4
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  		Fig. 1D —61-year-old woman with left ventricular mass who presents with a heart murmur. Short-axis view from true FISP sequence shows mass with intermediate signal intensity involving right ventricular free wall.

 

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