Article ID: NDI-2023-005
An asymptomatic 69-year-old woman exhibited slight ST-segment depression in the inferior leads on an electrocardiogram during a health check-up. Echocardiography revealed a small mobile tumor originating from the anterolateral papillary muscle of the left ventricle. As brain computed tomography revealed a cerebral infarction, urgent surgery was performed. The resected tumor was histologically diagnosed as a papillary fibroelastoma (PFE). The postoperative course was uneventful with no tumor recurrence two years post-surgery. It is extremely rare to find PFE during a health check-up. We emphasize that even minor abnormal findings during health check-ups should be monitored vigilantly.