Cardiac fibroma

Discussion:

This is a case of pathologically proven fibroma. 

Key facts:

  • intramural mass emanating the free wall of the ventricles
  • right-sided is more common than left
  • isodense to the myocardium on CT
  • may be hypintense in T2 due to high fibrous and collagen content
  • calcifications in 25%
  • late enhancement is due to high fibrous content
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