Caseous calcification of the mitral annulus (CCMA) is a rare variant of mitral annulus calcification which presents as a semilunar echodense mass with smooth borders and central areas of echolucency. It is an under-recognized benign entity and can be misdiagnosed for a number of pathologies including tumors, abscesses and thrombi. We present a representative CCMA case and highlight its typical appearance on magnetic resonance imaging.
Keywords: CCMA; CMR; Cardiovascular magnetic resonance; Caseous calcification of the mitral annulus; Mitral annulus calcification.