PMC5829353_01
CXR showing multiple right pulmonary nodules.
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Chest X-ray revealed a 7.4 cm opacity in the right lung base as well as multiple right pulmonary nodules (Figure 1).
Transthoracic echocardiogram showing a mass involving the tricuspid valve and both the right atrium and ventricle.
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A transthoracic echocardiogram (TTE) was performed and showed a highly mobile 5 cm mass involving the tricuspid valve with variable involvement of the right atrium and right ventricle (Figure 2).
Right atrial and tricuspid ventricular mass.
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The excised mass was pale yellow and pink, irregularly shaped, fragmented, bulky, and approximately 3 x 2 x 1.3 cm (Figure 3).
Specimen of the mass with H&E stain (a) and GMS stain highlighting fungal elements (b).
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Pathology from the mass and tricuspid valve showed necrotic debris with acute inflammation and abundant fungal hyphae (Figure 4).