Cardiac metastasis presenting with an ischaemic electrocardiogram pattern mimicking anterior myocardial infarction

Figure 1 Normal electrocardiogram (ECG) from 2016 (A). At presentation (March 2017), the patient presented an ECG with abnormalities mimicking anterior myocardial infarction (B), unchanged at repeated observations (C). Angiography of the left coronary artery showed no obstructive lesions (D). Axial slice of computed tomography in soft tissue window with evidence of a mass in the apex of the left ventricle (arrows) (E).