CONCLUSION
This case posed us with a diagnostic dilemma throughout the work up including high-resolution multimodality imaging. Though contrast echocardiography and cardiac MRI were closest to intraoperative diagnosis but in the absence of predisposing factors, we were left with differential diagnosis until our surgeons did gross examination in the operating theatre along with microscopic pathological diagnosis. In view of the rarity of such peculiar finding and the challenging presentation along with lack of clear consensus for diagnosis and management we thought to share our experience.