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Pre-operative computed tomography scan of liver showing two huge hypodense masses as labeled 1 and 2.
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The huge tumour led to compression of IVC, right portal and hepatic veins (Fig. 1).
Image showing a grossly enlarged right lobe of liver secondary to metastatic GIST.
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Intraoperatively, a massive tumour of right liver lobe (17 kg) was discovered (Fig. 2).
Intraoperative TOE showing extensive thrombi in a markedly dilated right atrium (RA) and right ventricle (RV).
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Intraoperative TOE demonstrated extensive thrombi within the right atrium, right ventricle and bilateral pulmonary arteries (Fig. 3).