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. 2021 Nov 26;13(11):628–649. doi: 10.4330/wjc.v13.i11.628

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©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.

This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/

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Seventy-one-year-old female with incidental finding of cardiac mass adherent to the septal leaflet of the tricuspid valve on cardiovascular magnetic resonance. The examination was performed for suspected noncompact myocardium on a previous ultrasound examination in a patient with known metastatic thyroid cancer. Orange arrow shows a mobile “valvular” mass at cine-steady state free precession (SSFP) imaging (A and B), with intermediate signal on T1-weighted images (C), high signal on T2 short tau inversion recovery images (D) and with poor enhancement at late gadolinium enhancement (LGE) images (E and F). This location of the mass and its cardiovascular magnetic resonance (CMR) features are in keeping with fibroelastoma. The patient underwent a periodic CMR follow-up for 3 years (G: cine-SSFP and H: LGE sequences), and the mass shows no change.