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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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Fifty-one-year-old male patient, with incidental finding of a suspicious intraseptal hyperechoic mass at transesophageal echocardiography. Cine-steady state free precession magnetic resonance (A and B) confirms the presence of an intraseptal mass with a chemical shift artefact at the border. The mass shows high signal intensity on proton density-weighted images (C) and low signal intensity on short tau inversion recovery images (D). The mass shows no enhancement on perfusion images (E and F, two different frame). These findings are in keeping with cardiac lipoma.