ON THE COVER A 9-year-old asymptomatic child was referred for cardiovascular magnetic resonance imaging to further assess a left ventricular mass found after an echocardiography. Bright blood cine images (A to C) revealed a 5 × 2.3 × 4.6 cm mass that was isointense compared with normal myocardium arising within the wall of the LV. T1-weighted, double-inversion recovery fast-spin echo (black-blood technique) images showed that the mass was iso-hypointense relative to the surrounding normal myocardium (D). T2-weighted spin-echo sequence images showed that the mass was hypointense relative to the surrounding normal myocardium (E). Delayed enhancement images (F) obtained using an inversion-recovery segmented gradient echo sequence showed intense inhomogeneous enhancement. Collectively, the tumor appearance and tissue characteristics suggested a fibroma. Image Provided by Giovanni Fazio,† Mongiovi Maurizio,* Emanuele Grassedonio,‡ Eliana Cracolici,‡ Loredana Sutera,† Giuseppina Novo,* Massimo Midiri,‡ Salvatore Novo,† from the *Division of Cardiology—Casa Del Sole Hospital, †Department of Cardiology and ‡Department of Radiology, University of Palermo, Italy