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Left Atrial/Ventricular Tumor Thrombus

Imaging findings

Cardiac MRI demonstrated a large, enhancing prolapsing mass extending from the left lower lobe through the pulmonary vein into the left atrium and across the mitral valve into the left ventricle. Perfusion imaging confirmed enhancement, and findings were consistent with tumor rather than simple thrombus.

Key takeaways

Primary lung tumors can invade directly into the pulmonary veins and the left heart chambers. This process should be distinguished from bland thrombus using contrast-enhanced perfusion imaging.

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