PMC4532065_01
Ultrasonography of the liver showing inhomogeneous mildly echogenic mass with well defined small echogenic nodules.
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Abdominal ultrasonogram favored a hepatoma of the right lobe with a right hepatic vein thrombus(Fig. 1).
Fine needle aspiration biopsy of the liver showing undifferentiated, large nucleated malignant cells. (Hematoxylin and eosin stain)
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Liver biopsy showed a poorly differentiated hepatocellular carcinoma(Fig. 2).
Transesophageal echocardiography demonstrates 2.5x3.5cm sized mass in the right atrium.
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Two-dimensional echocardiographic examination and transesophageal echocardiogram were performed, showing a large right atrial mass(Fig. 3).
PMC4532065_02
Abdominal computed tomography showing ill-defined large inhomogeneous mass filling the entire right lobe of the liver.
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Abdominal computed tomography revealed an ill-definded large inhomogeneous mass filling the entire right lobe of the liver with underlying liver cirrhosis and tumor thrombus in the upper portion of the IVC and the right atrium (Fig. 4).
2-D echocardiography showing thrombus in the right atrium.
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Two-dimensional echocardiogram manifested thrombus in the right atrium(Fig. 5).