Figure 1. Myocardial metastasis of neuroendocrine tumor. (A) A Gallium-68 DOTATATE PET/CT hybrid image demonstrating radiotracer uptake in the heart (arrows). (B) Transthoracic images demonstrating large echogenic mass (arrow) along the inferolateral wall of the LV. (C) Three-dimensional image confirming presence of large mass (arrow). (D) Contrast-enhanced echocardiographic image demonstrating minimal contrast uptake indicating minimal vascularity (arrow). (E) Turbo spin T2 sequence demonstrating multiple high T2 signal along the LV and RV wall correlating well with Gallium-68 DOTATATE PET images (arrows). (F) There is minimal late gadolinium enhancement on the cardiac MRI (arrow).

CT = computed tomography; LV = left ventricle; MRI = magnetic resonance imaging; PET = positron emission tomography; RV = right ventricular.