Strange looking papillary muscle?

This young adult male had history of epigastric pain. 

A quick echo study showed this strange looking mass in the left ventricle. 

What could it be?

Further echocardiography images show it to be the papillary muscle. A hypertrophied papillary muscle. 

Here's the axial view and another PLAX view. 

The color Doppler ultrasound image shows it to be papillary muscle again. 

Hypertrophied papillary muscle may be just an incidental finding. It may also be associated with chronic rheumatic mitral valve disease or a relatively unknown condition called Fabry disease. 

Further evaluation is advised. 

For more on this visit:

Echocardiography and sonography of CVS