Multiple Choice Question of the Week : CMR-03 : [Answer]

             
      



What do you see in the following cine-sequences?

A – Left ventricular false tendon
B – Left ventricular apex akinesia with thrombus
C – Left Ventricular apex akinesia with low flow artifact
D – Apical mass, probably cardiac fibroma

Right answer is B: Left ventricular apex akinesia with thrombus

The presence of a cardiac thrombus is usually confirmed by post-contrast sequences. In all post-contrast sequences  (First pass perfusion, EGE and LGE), thrombus does not tipically enhance (avascular mass). 

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