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. 2016 May 4;5(5):e003368. doi: 10.1161/JAHA.116.003368

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© 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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Cardiac metastasis (CMET) morphology and tissue properties. Representative examples of CMETs as assessed by cardiac magnetic resonance (CMR) imaging. A, Irregularly contoured left atrial mass (green arrow) in a patient with a testicular germ cell tumor. Cine‐CMR (left) demonstrates direct extension via the left lower pulmonary vein. Delayed enhancement (DE‐)CMR tissue characterization (right) demonstrates heterogeneous enhancement, including peripheral contrast uptake and central hypoenhancement (asterisk). B, Ovoid left ventricular apical mass (green arrow) in a patient with sarcoma. Note that whereas location and morphology on cine‐CMR (left) suggest thrombus, DE‐CMR tissue characterization (right) demonstrates diffuse contrast uptake—consistent with vascular supply secondary to neoplastic etiology.