Magnetic resonance imaging (MRI) revealed complete suppression of the mass with fat saturation pulsation, suggesting an intramyocardial lipoma in the posterolateral wall of LV.

Repeat imaging every 6–8 months was obtained. Nearly four years later, transthoracic echocardiography was performed and measured the LV lipoma near the apex which was similar in size to previous measurements. Since the patient was not symptomatic, surgery was not recommended.

Discussion

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