PMC9902933_01
Milestone Timeline with data from the related episodes of care.
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Contrast enhanced CT chest and abdomen dated June 27, 2022; Axial CT image through the chest (A) shows enlarged metastatic pre and paratracheal lymph nodes and a lobulated metastatic mass involving the left first rib (white arrow) at the costochondral junction. Axial CT image through the upper abdomen (B) shows large bilateral adrenal masses (white arrows). Coronal (C) and Axial (D) CT images through the chest shows a large hetereogenously enhancing mass in the right lung directly extending through the right superior pulmonary vein into the right atrium (black arrow) and conglomerate paratracheal lymphadenopathy (C).
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Transthoracic Echocardiogram showing a large echogenic mass in the Left Atrium, in the parasternal long-axis (A) and apical multi-chamber views (B-D), July 26, 2022, with measures estimating a mass size of 2.6-2.9 cm x 2.0-2.4 cm.
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A couple of repeat echocardiograms ( Figure 3 ) in July (after chemo-immunotherapy cycles 1 and 2) confirmed the known LVEF, IVC echogenic structure and LA mass (2.9 x 2.3 cm).