Media type: E-Article Title: Unusual echocardiographic appearance of a cardiac metastasis from lung carcinoma Contributor: Peluso, Diletta; Bianchi, Alessandra; Bonanno, Laura; Banzato, Alberto imprint: Wiley, 2016 Published in: Journal of Clinical Ultrasound Language: English DOI: 10.1002/jcu.22325 ISSN: 0091-2751; 1097-0096 Keywords: Radiology, Nuclear Medicine and imaging Origination: Footnote: Description: <jats:title>ABSTRACT</jats:title><jats:p>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. © 2015 Wiley Periodicals, Inc. <jats:italic>J Clin Ultrasound</jats:italic> <jats:bold>44</jats:bold>:392–394, 2016</jats:p>