5/27/2019 When is a mass not a mass?

An unusual presentation of prominent crista terminalis | BMJ Case Reports

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CASE REPORT
When is a mass not a mass? An unusual presentation of
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prominent crista terminalis
Handi Salim1, Amitabh Palit2, Abdul Maher3

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Summary
This case report describes a patient in whom echocardiography showed borderline left ventricular
hypertrophy and a mass adjacent to the right atrial wall. This naturally caused some concern as the
differential diagnoses included that of a right atrial myxoma and further investigations were organised. A
subsequent cardiac MRI revealed this thickening to be a prominent crista terminalis. The crista terminalis
is a variant of normal anatomical structures within the right atrium, which mimics an atrial mass.

http://dx.doi.org/10.1136/bcr-2015-211532

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