Abstract
On examination pulse was 120/min, regular. His blood pressure was 130/80 mmHg in right arm supine position and respiratory rate of 18/min. All other system examination was normal. ECG revealed right axis deviation. X-ray chest (PA view) was normal. Blood investigations were within normal limits. D-dimer was positive. Patient was also screened for DVT with lower limb doppler which showed no obvious abnormality. Serum homocystiene assay was normal. A 2D echocardiography was performed which revealed dilated right atrium, right ventricle and inferior vena cava and a hyper echoic oscillating filamentous mass of size 25 mm x 14 mm in right atrium probably thrombus. A CT Pulmonary angiography was suggested. Fig 1; 2D Echo showing the thrombus.
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