A young woman with multiple cardiac mass lesions

Abstract

A 22-year-old woman presented with breathlessness, weight loss and anorexia of 6 months’ duration. Clinical examination was suggestive of mild to moderate cardiomegaly with systolic murmur. Routine laboratory investigations revealed normal cardiac enzymes. An electrocardiogram revealed T-wave inversion in lead II, III, aVF and I, aVL and V4–6. A chest radiograph showed widened mediastinal shadow with minimally multilobulated rightand left-sided margins of cardiac and mediastinal silhouette. No obvious calcifications or altered density difference was seen in this region. Twodimensional echo cardiography (not shown) revealed