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55-year-old male with dyspnea on exertion diagnosed with lipomatous hypertrophy. (a-d) MR of the heart: (a) Steady-state free precession (SSFP) cine demonstrates a non-contractile, non-encapsulated hyperintense inter-atrial septal thickening, (b) T1-weighted, (c) T2-weighted, and (d) without enhancement images show hyperintense signal in the area of thickening (white arrows). Findings are compatible with lipomatous hypertrophy.
