We report two cases in which MR imaging was used to diagnose multiple cereb
ral aneurysms caused by cardiac myxoma. In one case, the diagnosis was conf
irmed with cerebral angiography. Myxomatous aneurysms characteristically ap
peared on TI-weighted images as contrast-enhancing focal fusiform dilatatio
ns of distal segments of the cerebral arteries. On T2-weighted images, thes
e myxomatous aneurysms appeared as low signal intensity flow voids, sometim
es associated with cerebral infarctions.