Figure 1: Transthoracic echocardiogram. Transthoracic echocardiogram was performed as a part of preoperative workup prior to surgery. Four-chamber transthoracic echocardiogram shows a prominent crista terminalis (arrow) in the right atrium, which was initially reported as indeterminate, and concerning for malignancy. Further evaluation with CT or MRI cardiac morphology was recommended