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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