Lipomatous hypertrophy of the interatrial septum
Diagnosed with chronic venous insufficiency. Elevated D-dimer. Rule-out pulmonary embolism.
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There is fat-attenuating thickening of the interatrial septum with sparing of the fossa ovalis compatible with lipomatous hypertrophy of the interatrial septum.
- negative for pulmonary thromboembolism
- abdominal fat herniating into the lower mediastinum through the esophageal hiatus
- heterogeneous bone densities with mixed lucent and sclerotic foci for which correlation with bone scan was suggested
Lipomatous hypertrophy of the interatrial septum is a benign condition characterized by mass-like fatty deposits in the interatrial septum with sparing of the fossa ovalis.
- 1. Meaney JF, Kazerooni EA, Jamadar DA et-al. CT appearance of lipomatous hypertrophy of the interatrial septum. AJR Am J Roentgenol. 1997;168 (4): 1081-4. doi:10.2214/ajr.168.4.9124119 - Pubmed citation
- 2. Calé R, Andrade MJ, Canada M et-al. Lipomatous hypertrophy of the interatrial septum: report of two cases where histological examination and surgical intervention were unavoidable. Eur J Echocardiogr. 2009;10 (7): 876-9. doi:10.1093/ejechocard/jep080 - Pubmed citation