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A 74-year-old gentleman was referred to our institution for investigation of an intra-cardiac mass, as part of the tertiary referral service that this institution provides for trans-esophageal echocardiogram (TOE).He presented initially to a general hospital 30 miles away with sub-costal pain. An ultrasound scan subsequently performed was unrevealing. A computed tomography (CT) thorax/abdomen was then performed. This revealed a constricting mass around the sigmoid colon, a lytic lesion within the T7 vertebra, and a mass in the left atrium. A colonoscopy was performed but no lesion was seen.A trans-thoracic echo confirmed a mass in the left atrium, however, this investigation was suboptimal as the patient had a BMI over 35 and hyper-inflated thorax …

Soft tissue neoplasm invading the heart with associated thrombus in a 74-year-old man