Case 117: The Tip of the Iceberg - II
Sometimes, the heart is just one of the organs involved and a cardiac MRI or CT can start a cascade leading to the final diagnosis.
![Case 117: The Tip of the Iceberg - II](/content/images/size/w1200/2023/11/presentation.jpg)
The first "Tip of the Iceberg" case was this.
When It’s Just the Tip of the Iceberg
This 57-years old presented with acute chest pain. She was diagnosed to have a non-STEMI infarct. Coronary angiography and echo were done. Based on the echo findings, an MRI was done, which uncovered a myriad of findings. The video explains the rest. Do Subscribe to View - It’s Free
![](https://www.mricardiac.com/content/images/2022/08/Presentation1a.jpg)
Today's case is about a 50-years old patient with pericardial effusion for 13 years, who came for a cardiac MRI, which showed a right atrial and interatrial septal mass with pericardial soft tissue and coronary artery encasement.
![](https://www.mricardiac.com/content/images/2023/11/Fig-temp.jpg)
This led to a PET/CT and a biopsy and an unusual diagnosis.