PMC9662106_01
CT chest mediastinal window (a) and lung window (b) show a large soft tissue mass lesion (asterisk) in right lower lobe infiltrating into the left atrium (arrow)
42399_2022_1331_Fig1_HTML.jpg
PMC9662106_01_42399_2022_1331_Fig1_HTML.jpg
Fig1
High-resolution computed tomography (CT) chest was performed that suggested a mass in the right lower lobe that was locally invading the mediastinum and large filling defects (2.3 cm*3 cm) were observed in the left atrium suspicious of tumor thrombi extending into the right pulmonary vein (Fig. 1a, b).
Diffusion-weighted MRI images showing acute infarcts in right fronto-parietal (a), left occipital (b), and right cerebellum (c)
42399_2022_1331_Fig2_HTML.jpg
PMC9662106_01_42399_2022_1331_Fig2_HTML.jpg
Fig2
Therapy (VMAT) technique was planned for 40 Gy in 15 fractions. The patient could complete 8 out of the 15 planned sessions as after the eighth session he became comatosed and the repeat diffusion-weighted MRIhead showed multiple acute infarcts bilaterally present in the fronto-parietal and temporo-occipital region, basalganliothalamic regions, cerebellar hemispheres, and cerebral vermis (Fig. 2a-c).