CTICasesTuberous Sclerosis with Myocardial Lipomas
Imaging findings
CT chest and abdomen in a patient with tuberous sclerosis show multiple lung cysts (lymphangioleiomyomatosis), renal angiomyolipomas, hepatic fatty lesions, and several small fat-attenuation foci (myocardial lipomas) in the interventricular septum and left ventricle.
Key takeaways
Tuberous sclerosis is a multisystem neurocutaneous disorder. Classic thoracic manifestations include LAM (lung cysts) and cardiac rhabdomyomas. In adults, fatty foci in the myocardium representing lipomas or lipomatous metaplasia can also be seen, representing mesenchymal hamartomas.
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