Open AccessIncidental Finding of a Large Right Atrial Thrombus in a Patient With Cerebral Lymphoma
Author(s) -
Ayman R. Fath,
Abdullah S. Eldaly,
Amro Aglan,
Kyle S. Varkoly,
Roxa. Beladi,
Anup Solsi,
M. Frances Hahn,
John P. Karis,
Sifisi,
Kevin Rep Brady,
Pallavi Bellamkonda,
Dara Wakefield,
William L. Clapp,
Alexandra Lucas
Publication year - 2021
Publication title -
journal of investigative medicine high impact case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.247
H-Index - 10
ISSN - 2324-7096
DOI - 10.1177/23247096211001636
Subject(s) - medicine , radiology , thrombus , ventricle , tricuspid valve , magnetic resonance imaging , lymphoma , superior vena cava , inferior vena cava , diffuse large b cell lymphoma , cardiology
Right atrial (RA) masses are rare, challenging to diagnose, and potentially life-threatening with high mortality if untreated. We present a patient presenting with diffuse large B-cell lymphoma in the brain that was incidentally found to have a large RA mass. For a better definition of the RA mass, extensive workup using multimodality imaging including chest computed tomography, transthoracic echocardiography, transesophageal echocardiography, cardiac magnetic resonance imaging, and left heart catheterization was warranted. The imaging demonstrated a large RA mass extending through the tricuspid valve into the right ventricle and superior and inferior vena cava without a mobile component. The mass was then successfully resected, and further histology examination was performed to rule out lymphoma and rare subtypes of diffuse large B-cell lymphoma. The comprehensive workup proved the RA mass to be a calcified thrombus rather than a direct metastatic spread of lymphoma.