Papillary fibroelastoma is a rare primary cardiac tumour with benign histology. Despite its benign nature, it can lead to serious complications, including thromboembolism, stroke, myocardial infarction, and dynamic coronary obstruction. This review at #EHJ-IMP highlights how multimodality imaging supports diagnosis and clinical management: 🔹 Transthoracic echocardiography (TTE) serves as an important initial imaging test. 🔹 Transoesophageal echocardiography (TEE) provides improved spatial and temporal resolution, helping define tumour mobility, attachment, stalk morphology, and relationships with nearby structures. 🔹 Cardiac CT offers detailed anatomical information and helps assess the tumour’s relationship with the cardiac valves, coronary arteries, and surrounding anatomy. 🔹 Cardiac MRI contributes to tissue characterisation and may help differentiate papillary fibroelastoma from other cardiac masses. 🔗 doi.org/10.1093/ehjimp/qyag1… @VikashJaiswalMD @EHJIMPEiC @JGrapsa #EHJImaging #Cardiology #CardiacImaging #MultimodalityImaging #Echocardiography #CardiacCT #CardiacMRI #PapillaryFibroelastoma #CardioEd #CardioTwitter.