Simultaneous occurrence of two different primary cardiac tumors in an 84-year-old woman characterized by cardiovascular magnetic resonance imaging.

Primary cardiac tumors are rare. The commonest cardiac tumor is a metastatic deposit from primary malignancy elsewhere. Benign primary tumors constitute only a small proportion of all cardiac tumors. Depending on their location, cardiac tumors may interfere with cardiac contraction or cause obstruction to valvular flow. Others, located within the myocardium or attached to the atrial or ventricular wall, may remain undetected for many years and be discovered only postmortem. Cardiac MRI is unique in its ability to assess intra-cardiac pathology, not only because of the large field of view but also due to the ability to characterize tissue components through the application of specific pulse sequences. We present the unusual case of an 84-year-old woman whose cardiac MRI examination identified two synchronous cardiac tumors that were both anatomically and pathologically distinct.