PMC9926002_01
Contrast-enhanced computed tomography scan of the chest revealing an 8.0-cm
right apical mass involving the lung and chest wall.
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A contrast-enhanced computed tomographic (CT) scan of the chest, abdomen, and pelvis showed a small right upper lobe segmental pulmonary embolus, an 8-cm apical lung mass involving chest wall (Figure 1), metastatic thoracic nodes, a colonic mass, 3.6-cm clustered filling defects in the right ventricle, and a 3-cm mass in the left ventricle (Figure 2).
Contrast-enhanced computed tomography scan of the chest revealing 3.6-cm
clustered hypodense filling defects in the right ventricle (RV) extending
into the anterior ventricular wall with overlying soft tissue density, as
well as a 3.0-cm heterogeneous soft tissue mass in the left ventricular (LV)
apex appearing to involve pericardium, cardiac fat, and LV myocardium.
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fig2-23247096231154642
A contrast-enhanced computed tomographic (CT) scan of the chest, abdomen, and pelvis showed a small right upper lobe segmental pulmonary embolus, an 8-cm apical lung mass involving chest wall (Figure 1), metastatic thoracic nodes, a colonic mass, 3.6-cm clustered filling defects in the right ventricle, and a 3-cm mass in the left ventricle (Figure 2).
Cardiac MRI with and without contrast revealing a multilobulated RV mass with
a 1.5 cm x 1.6 cm portion attached to and invading the RV wall and a 1.6 cm
x 3.0 cm free-floating portion within the RV cavity, as well as 2 LV masses
(4.8 cm x 1.7 cm in basal-mid lateral wall and 1.9 cm x 2.7 cm in apical
lateral wall), infiltrating into the LV myocardium and extending into the
pericardium.. Abbreviations: MRI, magnetic resonance imaging; RV, right ventricle; LV, left
ventricle.
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Further diagnostic imaging with cardiac magnetic resonance imaging (MRI; Figures 3 and 4) revealed 2 left ventricular masses (basal-mid lateral and apical lateral wall) infiltrating into the myocardium and extending into the pericardium suggestive of metastatic disease.
Cardiac magnetic resonance imaging with and without contrast revealing the
biventricular masses and heterogeneous enhancement on late gadolinium
enhancement imaging.
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Further diagnostic imaging with cardiac magnetic resonance imaging (MRI; Figures 3 and 4) revealed 2 left ventricular masses (basal-mid lateral and apical lateral wall) infiltrating into the myocardium and extending into the pericardium suggestive of metastatic disease.