PMC9280095_01
(a) Postpericardiocentesis echocardiography showing mild pericardial effusion (white asterisk), right ventricular and left ventricular (yellow arrow) thickening and thickening of the descending thoracic aorta (yellow asterisk). (b) Pleural effusion (white asterisk), pericardial effusion, and infiltration of aorta (yellow arrows). (c) Lymphoma encasing the aorta. (d) Lymphoma infiltrating aorta (yellow arrows) and the pulmonary artery (white arrows)
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F1
A visible echogenic ring-like encasement of the ascending aorta, descending thoracic aorta, main pulmonary artery, and proximal segment of its branches indicated tumor infiltration [Figures 1b-d, 2d and Supplementary Videos 1 and 2].
(a) Septal mitral tissue Doppler showing e' of 5.9 cm/s and a' of 3.5 cm/s. (b) Lateral mitral tissue Doppler showing e' of 4.25 cm/s and a' of 3.3 cm/s. (c) Mitral inflow Doppler showing E of 88.5 cm/s and A of 32.5 cm/s (E/A of 2.7). (d) Suprasternal view showing tumor mass between the aortic arch and pulmonary artery (asterisk)
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F2
III diastolic dysfunction (septal e' was 5.9 cm/s, E/A was 2.7 and E/e' was 15), and left ventricular ejection fraction of 55% suggestive of RCM [Figure 2a-c], possibly due to infiltration by tumor cells. Inferior vena cava was dilated and noncollapsible. A visible echogenic ring-like encasement of the ascending aorta, descending thoracic aorta, main pulmonary artery, and proximal segment of its branches indicated tumor infiltration [Figures 1b-d, 2d and Supplementary Videos 1 and 2].
Computed tomography showing ill-defined sheet-like multi-compartmental soft-tissue lesions in the anterior mediastinum (white asterisks) and insinuating between the great vessels and middle mediastinum (yellow asterisk). MPA: Main pulmonary artery
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F3
Contrast-enhanced computed tomography (CT) scan of the chest [Figure 3] revealed ill-defined sheet-like multi-compartmental soft-tissue lesions in the anterior mediastinum, insinuating between the great vessels and middle mediastinum.