PMC5385863_01
Initial transthoracic echocardiography (apical 4-chamber view). Arrows denote hyperechoic mass occupying right atrium.
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The patient underwent transthoracic echocardiography, which revealed a 6.4 x 4.3 cm mass occupying nearly the entire right atrium, and extending to the inferior vena cava (IVC) (Fig. 1).
CT angiography with reconstruction showing tumor invasion into right atrium. a Axial view. b Sagittal view. c Coronal view; arrow noting transcardiac hepatic feeding vessel. d Coronal 3-D reconstruction; red denotes tumor mass.
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Angiography was then pursued and showed subtotal occlusion of the IVC by a mass extending from the hepatic veins into the right atrium (Fig. 2).