Cardiac imaging plays an important role in detection and differential
diagnosis of cardiac masses. We report a 43-year-old male presented with
palpitations. Clinical examination, ECG and chest x-ray were
unremarkable. Trans-thoracic echocardiography showed a well-defined,
large left ventricular mass at the anterolateral papillary muscle with
multiple chordal insertion into the mass. Cardiac computed tomography
showed heterogenous contrast enhancement. Cardiac magnetic resonance
imaging showed high signal intensity, and early heterogeneous
enhancement hyperintense on T2, with regional variations in vascularity,
as well as late gadolinium enhancement. Post-surgical excision
pathological examination confirmed cardiac hamartoma.