Findings, case of 56 y/o man, distended neck veins

Imaging Findings

Chest radiograph was normal. Cardiac evaluation included an echocardiogram, which demonstrated a right atrial mass possibly extending into the inferior vena cava (IVC).

The MRI examination included ECG-gated spin echo as well as cine sequences. T1-weighted coronal and axial images show a slightly lobular right atrial mass (arrows). This mass is of homogeneous intermediate signal intensity, heterogeneously enhanced with gadolinium (arrows), and measures 5 cm in largest dimension. The mass extends to the origin of the IVC but does not extend more inferiorly. On an axial balanced sequence (intermediate between T1 and T2), the mass extends into the right ventricle (arrows).

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