Intramyocardial Fatty Foci (Tuberous Sclerosis)
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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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