PMC8616685_01
Axial computed tomography angiography depicting a filling defect (arrow) in the upper superior vena cava at the junction of the left and right brachiocephalic veins.
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fig1
A filling defect was seen in the upper superior vena cava representing either a thrombus or fibrinous sheath from her previous TDC (Figure 1).
Transesophageal echocardiogram showing a mobile lesion at the junction of the SVC and right atrium. The lesion is irregular and measures about 1.7 cm in greatest dimension.
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fig2
Transesophageal echocardiography was obtained and confirmed the presence of a mobile thrombus at the SVC and right atrial junction measuring 1.7 cm in the greatest dimension (Figures 2 and 3).
Transesophageal echocardiogram with color Doppler showing mobile thrombus at the junction of the SVC and right atrium.
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fig3
Transesophageal echocardiography was obtained and confirmed the presence of a mobile thrombus at the SVC and right atrial junction measuring 1.7 cm in the greatest dimension (Figures 2 and 3).
Axial computed tomography angiography depicting a pseudoaneurysm measuring 52 x 47 mm with an irregular central contrast collection measuring 32 mm (marked above).
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fig4
Ten days after the initial CT scan, a repeat CT chest with IV contrast revealed a new left lower lobe pulmonary artery pseudoaneurysm measuring 52 x 47 mm with irregular central contrast measuring 32 mm in dimension (Figure 4).