Incidental 18F-Fluorodeoxyglucose Avid Cardiac Mass on Positron Emission Tomography-Computed Tomography in a Patient with Head-and-Neck Carcinoma: Metastasis or Something Else?

High 18F-Fluorodeoxyglucose (18F-FDG) uptake in a cardiac mass is considered to be a marker of malignancy, but that is not always true. We here present such a case of incidentally detected 18F-FDG cardiac mass on staging positron emission tomography-computed tomography in a woman with head-and-neck cancer, confirmed to be myxoma on contrast-enhanced magnetic resonance imaging and subsequent histopathology.

Cardiac catheterization through ipsilateral radial and ulnar artery access during the same procedure.

We evaluated the safety and feasibility of ipsilateral radial and ulnar artery cannulation during the same catheterization procedure. Crossover from radial to femoral was done in 122 patients. Both ipsilateral radial and ulnar catheterization were performed in 16 patients without any complications, which was further supported by Doppler ultrasonography.

Anomalous origin of right coronary artery causing myocardial ischemia in a young patient.

Anomalous right coronary artery from left coronary sinus can have dynamic narrowing and kinking causing symptoms of myocardial ischemia and sudden cardiac death. Surgical repair of the anomaly is required in the symptomatic patient because of risk of ischemia or ventricular arrhythmia. Asymptomatic incidentally diagnosed low-risk patients can be closely followed up with exercise restriction as per present guideline.