Uncategorized

66-year-old female presents with chest pain
The frontal CXR shows left atrial enlargement characterized by elevated L main stem bronchus, and in retrospect some calcifications overlying the left atrium on the lateral

LEFT ATRIAL ENLARGEMENT and STRAIGHT HEART BORDER – CALCIFIED LEFT ATRIAL MYXOMA
Ashley Davidoff MD
CALCIFIED LEFT ATRIAL MYXOMA
Ashley Davidoff MD
MULTIPLE CALCIFICATIONS OVERLYING THE LEFT ATRIUM (white arrows)
CALCIFIED LEFT ATRIAL MYXOMA
Ashley Davidoff MD

The scout film prior to the CT confirms the elevated left main stem bronchus

WIDENED CARINA
Ashley Davidoff MD

The dominant finding is a calcified left atrial mass that is attached to the atrial septum. It measures 6.5 X 4.4 X 4.6cms and shows mild enhancement.
The other chambers are normal in size

CALCIFIED LEFT ATRIAL MYXOMA
66-year-old female presents with chest pain
The frontal CXR shows left atrial enlargement characterized by elevated L main stem bronchus, and in retrospect some calcifications overlying the left atrium on the lateral
The scout film prior to the CT confirms the elevated left main stem bronchus, but the dominant finding is a calcified left atrial mass that is attached to the atrial septum. It measures 6.5 X 4.4 X 4.6cms and shows mild enhancement.
The other chambers are normal in size
The mass was resected and pathology findings were consistent with an atrial myxoma
Ashley Davidoff MD
CALCIFIED LEFT ATRIAL MYXOMA
Ashley Davidoff MD
CALCIFIED LEFT ATRIAL MYXOMA
Ashley Davidoff MD
CALCIFIED LEFT ATRIAL MYXOMA
Ashley Davidoff MD
LA ENLARGED
CALCIFIED LEFT ATRIAL MYXOMA
Ashley Davidoff MD
CALCIFIED LEFT ATRIAL MYXOMA
66-year-old female presents with chest pain
The frontal CXR shows left atrial enlargement characterized by elevated L main stem bronchus, and in retrospect some calcifications overlying the left atrium on the lateral
The scout film prior to the CT confirms the elevated left main stem bronchus, but the dominant finding is a calcified left atrial mass that is attached to the atrial septum. It measures 6.5 X 4.4 X 4.6cms and shows mild enhancement.
The other chambers are normal in size
The mass was resected and pathology findings were consistent with an atrial myxoma
Ashley Davidoff MD
CALCIFIED LEFT ATRIAL MYXOMA
Ashley Davidoff MD

Pre Contrast

PRE CONTRAST 6HU
Ashley Davidoff MD

During Contrast

DURING CONTRAST 35 HU
CALCIFIED LEFT ATRIAL MYXOMA
Ashley Davidoff MD

Post Contrast

DELAY CONTRAST
12 HU
Ashley Davidoff MD

The mass was resected and pathology findings were consistent with an atrial myxoma

POST OP REMOVAL OF CALCIFIED LEFT ATRIAL MYXOMA IVC REPAIR
WIDELY PATENT LA
Ashley Davidoff MD
NARROWED SVC SURROUNDED BY HEMATOMA
POST OP REMOVAL OF CALCIFIED LEFT ATRIAL MYXOMA IVC REPAIR
Ashley Davidoff MD
SURGICEL IN POST OP BED
POST OP REPAIR OF CALCIFIED LEFT ATRIAL MYXOMA
Ashley Davidoff MD