Utility of cardiac magnetic resonance imaging in the evaluation of cardiovascular involvement in pediatric Rosai-Dorfman disease.
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Rosai-Dorfman disease is an infiltrative neoplastic process that can manifest with a variety of symptoms based on its location. Rarely, Rosai-Dorfman disease can present as an intracardiac mass or with compression of extracardiac vasculature. When cardiovascular involvement is considered, cardiac MRI can aid in tissue characterization, rule out alternative differential diagnoses, and assess physiological consequences of the mass. We describe the imaging and clinical course of a child with Rosai-Dorfman disease with cardiovascular involvement who exhibited successful response to targeted chemotherapy.