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Intramyocardial Fatty Foci (Tuberous Sclerosis)

Intramyocardial Fatty Foci (Tuberous Sclerosis)▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

Multiple areas of globular fatty attenuation were noted within the heart, specifically in the septum and right ventricle, not conforming to vascular territories. The patient also had a history of renal angiomyolipomas.

Key takeaways

Intramyocardial fatty foci are highly associated with tuberous sclerosis. These lesions are sometimes referred to as cardiac angiomyolipomas or rhabdomyomas in the heart in older literature, but newer terminology calls them intramyocardial fatty foci.

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