PMC3562152_01
Echocardiographic evaluation. Four-chamber 2-dimensional transthoracic echocardiogram shows a large, irregular metastatic mass (2.3x1.1 cm), which infiltrated pericardium and myocardium (predominantly anteroapical and lateral walls of the left ventricle) with intracavitary propagation (arrows).
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F2
Two-dimensional transthoracic echocardiography (2D-TTE) revealed cardiac involvement with metastatic tumour mass (Figure 2).
Radiological evaluation. Contrast-enhanced axial (Figures 3A-3C), coronal (Figure 3D) and sagittal (Figure 3E) multislice computed tomography scan of the chest revealed massive, predominantly necrotic metastatic tumour mass (13x10 cm in size on axial view) with pericardial and heart involvement (arrows). The tumour was partially necrotic and infiltrated the thoracic aorta and the pulmonary trunk with extension into the left atrium.
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F3
A contrast-enhanced multislice computed tomography (MSCT) of the chest confirmed and demonstrated a large metastatic mass that involves predominantly the pericardium and the left ventricle with the extension into the left atrium (Figure 3A-3E).