A mass described below: possible aetiologies include extension of ectopic calcification from significant mitral annular calcification (MAC), other possibilities include calcified myxoma or other tumor. The mass appears to have a mobile surface component noted.
The left ventricle is normal size with moderate concentric left ventricular hypertrophy; the basal septum appears to have moderate-severe hypertrophy.
Normal global LV function with ejection fraction 60%.
A moderately sized 7mm x6mm calcified, irregular mass with small mobile surface component is seen in the left atrium. It appears attached to either atrial aspect of the calcified mitral annulus or the adjacent atrial septum.
No thrombus is detected in the left atrial appendage.
The mitral leaflets appear mildly thickened with trace mitral regurgitation.
There moderate mitral annular calcification.
There is trace to mild tricuspid regurgitation.
Injection of agitated saline contrast documented no interatrial or intrapulmonary shunt.