MCQ : CMR-16
What do you think about the mass indicated by yellow arrow?
A – intramural hematoma
B – thrombus
C – caseous degeneration of the mitral annulus
D – valve prosthetic ring
Correct Answer is C : caseous degeneration of the mitral annulus
Caseous degeneration of the mitral annulus appears isointense in cine sequences (the first 3 images) and with central signal loss in T2-STIR sequences. No contrast in the center of the mass (dark) in LGE sequences with peripheral hyperenhance.
