Lipomatous hypertrophy of the interatrial septum

Case contributed by Vincent Tatco
Diagnosis almost certain

Presentation

Diagnosed with chronic venous insufficiency. Elevated D-dimer. Rule-out pulmonary embolism.

Patient Data

Age: 70 years
Gender: Female

There is fat-attenuating thickening of the interatrial septum with sparing of the fossa ovalis compatible with lipomatous hypertrophy of the interatrial septum.

Other findings:

  • 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

Case Discussion

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.