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A middle-aged woman was admitted with progressive shortness of breath for 3 weeks. Clinical exam was unremarkable and further work-up was pursued. CT chest showed a cardiac mass and multiple opacities in the lungs (figure 1C). Echocardiogram demonstrated a 3×5 cm mass in the right atrium (online supplementary video 1) which was extending into the inferior vena cava (IVC) (figure 1A,B). These findings were highly suspicious for metastatic disease, but the primary was unknown. CT abdomen showed an 8.9×7.5×9.3 cm mass in the left kidney with …
Contributors SuM, HR, UJ and SaM have all planned the manuscript, collected the images and reviewed the literature. SuM has prepared and submitted the manuscript. Each author jointly participated in drafting and revising the article. In addition, all the authors approved the final draft for submission.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; internally peer reviewed.
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