Diagnostic challenge presented by right atrial mass: A report of two cases

Right atrial masses raised pose 3 major possibilities including tumors, thrombi, or vegetations. We present 2 cases: first, a 34-year-old male with no medical history, who presented with dyspnea, pleuritic pain, and fever; and the second, 65-year-old male with similar symptoms and a history of a lef...

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Bibliographic Details
Published in:Radiology case reports Vol. 17; no. 10; pp. 3886 - 3892
Main Authors: Medina-Mur, Ramón, Vasquez-Rodríguez, Juan Felipe, Giraldo-Peniche, Luis Enrique, Idrovo-Turbay, Carolina, Gelves-Meza, Julian, Jaimes, Claudia
Format: Journal Article
Language:English
Published: Elsevier Inc 01-10-2022
Elsevier
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Summary:Right atrial masses raised pose 3 major possibilities including tumors, thrombi, or vegetations. We present 2 cases: first, a 34-year-old male with no medical history, who presented with dyspnea, pleuritic pain, and fever; and the second, 65-year-old male with similar symptoms and a history of a left renal carcinoma. Both patients had right atrial masses found on a transthoracic echocardiogram. Cardiac magnetic resonance imaging and an 18 FDG-PET were necessary finding thrombi in the first patient; and tumoral thrombi in the second one. A multimodality imaging approach to right atrial masses is essential for proper diagnosis and therapeutic decision-making.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2022.07.045