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History: 61♂, known renal cell carcinoma with renal venous thrombosis.

Case of the week – 07-10: Tumour or Thrombus?. History: 61♂, known renal cell carcinoma with renal venous thrombosis. Cine CMR: A large RV apical mass. Tissue Characterisation: compared to myocardium: isointense on T1W TSE, 2 hyperintense on T2W TSE, 3 Heterogenous after contrast,4

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History: 61♂, known renal cell carcinoma with renal venous thrombosis.

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  1. Case of the week – 07-10: Tumour or Thrombus? History: 61♂, known renal cell carcinoma with renal venous thrombosis. Cine CMR: A large RV apical mass. Tissue Characterisation: compared to myocardium: isointense on T1W TSE, 2 hyperintense on T2W TSE, 3 Heterogenous after contrast,4 The T2W pre contrast and heterogeneity post are not consistent with just thrombus. Subsequent biopsy confirmed the presence of metastatic high-grade renal cell carcinoma Conclusion: Cardiac MRI tissue characterization can be of great utility as an imaging tool to differentiate a thrombus from a malignant tumor Scanner: Siemens Avanto Reference: Sparrow PT, et al. MRI of Cardiac Tumors. Radiographics. 2005; 25:1255-1276. Dev Vaz and Jo Mahenthiran, Krannert Institute of cardiology, Indiana University, USA.

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