Atrial cholangiocarcinoma diagnosed by cardiac magnetic resonance imaging.
Alexander MarschallDiego Rodriguez TorresAndrea Rueda LiñaresHugo Del Castillo CarnevaliCarmen Dejuán BitriáCristina Fraile SanzJuan Duarte TorresSalvador Álvarez AntónDavid Martí SánchezPublished in: Echocardiography (Mount Kisco, N.Y.) (2021)
In this rare case of intrahepatic cholangiocarcinoma (ICC) tumor thrombus with right atrial (RA) invasion, we describe its diagnostic workup based on cardiac magnetic resonance imaging (cMRI). An 85-year-old man underwent transthoracic echocardiography due to dyspnea, revealing a RA mass. Comprehensive cMRI evaluation, including cine bright blood, T1- and T2-weighed, fat-suppressed, and contrast-enhanced imaging, was performed and diagnosis of ICC tumor thrombus with RA invasion was made. This first description of cMRI-guided diagnosis of RA invasion by ICC tumor thrombus points out the usefulness of cMRI for the diagnostic approach of RA masses suggestive of tumor thrombus.
Keyphrases
- contrast enhanced
- magnetic resonance imaging
- rheumatoid arthritis
- computed tomography
- disease activity
- left ventricular
- rare case
- magnetic resonance
- diffusion weighted
- ankylosing spondylitis
- cell migration
- adipose tissue
- interstitial lung disease
- left atrial
- heart failure
- palliative care
- photodynamic therapy
- mass spectrometry
- fatty acid
- mitral valve
- ultrasound guided
- clinical evaluation
- fluorescence imaging