PMC9891142_01
Echocardiography showing right atrial mass (red arrow).
pjg-0030-0057-g01.jpg
PMC9891142_01_pjg-0030-0057-g01.jpg
F1
A transthoracic echocardiogram was scheduled to evaluate the cardiac function, which showed a mass comprehending almost the totality of the right atrium, obliterating its entrance nearly completely and impeding the normal auricular-ventricular flux, described as an auricular myxoma (Fig. 1).
Initial CT scan showing 3.5-cm nodule in the IV segment of the liver (black arrow).
pjg-0030-0057-g02.jpg
PMC9891142_01_pjg-0030-0057-g02.jpg
F2
A multiphasic contrast-enhanced computed tomography (CT) scan evidenced a 3.5-cm nodule in the IV segment of the liver, with arterial enhancement and subsequent washout on the portal phase, with no evidence of malignant disease elsewhere (Fig. 2).
CT scan showing invasion of the inferior vena cava by the tumoral mass with extension to the right atrium (red arrows) and an extensive lesion of the liver comprehending the IV and II segments (black arrow).
pjg-0030-0057-g03.jpg
PMC9891142_01_pjg-0030-0057-g03.jpg
F3
One year later, on a control CT scan, the patient presented an invasion of the inferior vena cava by a tumoral mass with extension to the right atrium and an extensive lesion of the liver comprehending the IV and II segments (Fig. 3), after which referral to palliative care was decided.