Unusual echocardiographic appearance of a cardiac metastasis from lung carcinoma

Diletta Peluso, Alessandra Bianchi, Laura Bonanno, Alberto Banzato

Research output: Contribution to journalArticlepeer-review


During hospitalization in the Oncology Department, a woman with nonsmall cell lung cancer and no previous cardiac event complained of episodes of chest pain and palpitations. Preliminary instrumental examinations diagnosed atrial fibrillation in pericarditis. A subsequent complete transthoracic echocardiogram showed the presence of a large mass involving the left ventricular apex, without echo-contrast enhancement. A thoracic CT with iodized contrast agent revealed its necrotic composition and was concluded as cardiac metastasis. This is an unusual case of a malignant neoplasm showing no contrast enhancement at echocardiogram because of its necrotic composition, mimicking a thrombus.

Original languageEnglish
Pages (from-to)392-394
Number of pages3
JournalJournal of Clinical Ultrasound
Issue number6
Publication statusPublished - Jul 1 2016


  • cardiac mass
  • cardiac metastasis
  • contrast echocardiography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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