PMC6011128_01
EKG on presentation showing right axis deviation and ST-T wave changes.
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EKG on presentation (Figure 1) showed right axis deviation and abnormal ST-T wave segments in V1 through V3 which was new compared with a prior EKG.
CT angiogram displayed moderate bilateral pleural effusions, a mass in the right ventricle, and a mass invading into the left atrium through the mitral valve into the left ventricle.
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Due to the concern for pulmonary embolism, a CT angiogram of the chest was obtained which displayed moderate bilateral pleural effusions, a mass in the right ventricle, and a mass in the left atrium extending through the mitral valve invading into the left ventricle (Figure 2).
MRI confirmed masses in the right and left ventricle. Shown above is an image of the mass located in the right ventricle.
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Cardiac MRI was obtained (Figure 3) and confirmed the masses.