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Intramyocardial Lipoma of the Left Ventricle: A Diagnostic Conundrum Solved with Multimodality Imaging Cover

Intramyocardial Lipoma of the Left Ventricle: A Diagnostic Conundrum Solved with Multimodality Imaging

Open Access
|Jan 2026

Figures & Tables

Figure 1

(A) Transthoracic echocardiogram in apical four-chamber view and (B) parasternal long-axis view showing a large echogenic mass in the region of the basal interventricular septum (depicted by white arrow) transesophageal echocardiogram in (C) four-chamber and (D) three-chamber views demonstrate the echodense mass. RV: right ventricle; LV: left ventricle; RA: right atrial; LA: left atrial

Figure 2

(A) Steady state free precession sequence in horizontal long-axis (HLA) and (B) short-axis (SA) view demonstrating a hyperintense lesion (depicted by white arrow) arising in the intramyocardial location from the basal inferior, inferoseptum, and inferolateral left ventricular wall. The lesion is (C) hypointense on T2 fat saturated (FS) HLA and (D) SA images and hyperintense on (E) T1 non-fat saturated HLA and (F) SA images. (G) Post-contrast T1 FS HLA shows no contrast enhancement. (H) Non-contrast-ECG gated CT scan of the chest confirmed the diffuse fatty attenuation of the lesion, with no intralesional calcification. ECG: electrocardiography; CT: computed tomography; RV: right ventricle; LV: left ventricle

DOI: https://doi.org/10.14797/mdcvj.1767 | Journal eISSN: 1947-6108
Language: English
Page range: 7 - 10
Submitted on: Dec 17, 2025
Accepted on: Jan 7, 2026
Published on: Jan 28, 2026
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services

© 2026 Arun Sharma, Mansi Verma, Shouvik Paul, Anuja Gadre, Manoj Kumar Rohit, Manphool Singhal, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.