Secondary spread of cancer to the heart is uncommon and typically occurs in people with advanced, known cancer. It is rarely the first sign of disease in an otherwise asymptomatic person. When found unexpectedly on imaging, it may prompt further investigation into an undetected primary cancer. An MRI may show changes in or around the heart that could be consistent with secondary involvement. Finding cardiac metastases allows for staging and treatment planning before cardiac function is compromised. MRI is well-suited for assessing cardiac masses and is considered the preferred modality for characterising cardiac tumours and metastases.
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