Incidental Cardiac Masses

In this presentation titled "Incidental Cardiac Masses," Dr. Nikhil Goyal discusses the approach to identifying and characterizing cardiac masses encountered during cardiovascular imaging. He emphasizes the importance of differentiating between myocardial-based and luminally-based masses and highlights key features to consider, such as shape, fat density, borders, and the presence of pericardial effusion. Dr. Goyal provides examples and outlines an algorithmic approach to guide the evaluation of cardiac masses, considering factors like chamber location, fat distribution, and the origin from valves. He also covers common differential diagnoses, including benign and malignant conditions, with an emphasis on metastatic disease. The presentation aims to assist trainees and early-career professionals in navigating the assessment of incidental cardiac masses using various imaging modalities like echocardiography, CT, and MRI.