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Organized Thrombus Mimicking Cardiac Myxoma

Imaging findings

Intracardiac mass that demonstrated enhancement on post-contrast imaging, initially concerning for myxoma. Pathology revealed an organized thrombus with pronounced endothelial differentiation and neovascularization.

Key takeaways

Organized thrombus can exhibit contrast enhancement and mimic cardiac neoplasms like myxomas due to internal endothelial differentiation and microvasculature formation.

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