CTICasesLeft Ventricular Hemangioma
Imaging findings
Cardiac MRI demonstrates a well-circumscribed mass involving the left ventricular wall near the apex. The mass shows homogeneous low signal on T1 and T2-weighted images, with prompt perfusion and uniform late gadolinium enhancement.
Key takeaways
Primary cardiac hemangiomas are rare benign vascular tumors of the heart. While they classically exhibit high T2 signal due to vascular/cystic spaces, tightly packed cellular or capillary hemangiomas can present with low T2 signal, making differentiation from other benign masses like fibromas challenging. Surgical resection is often curative and diagnostic.
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