61 year old male with cardiac metastases of melanoma.
Findings: MPR images of contrast enhanced CT of the chest in the arterial phase confirmed the polymorphism of cardiac masses, both infiltrating and vegetating. The areas with greater infiltration are the apex of the right ventricle, the mid-to-distal interventricular septum (white arrows), the posterior wall of the right ventricle and the lateral wall of the left ventricle. Clearly shown is also the atrial mass in the right atrium (red arrow), near superior vena cava.
Technique: chest CT (Somatom Definition 64-slice multidetector CT, Siemens, Germany), without ECG-gating, arterial phase after the intravenous injection of iodine contrast agent (100 ml at 5 ml/sec, Iomeron 400 mg iodine/ml, Bracco), slice thickness of 0.75 mm, 120 kVp, 160 mAs. Multiplanar reconstruction (MPR) images. A: inflow tract projection, B: 2-chamber view, C: short axis view.