Abstract

A 45-year-old male patient was admitted to hospital for a reported episode of tachycardia and chest pain followed by loss of consciousness. History of COPD in active smoking, drug abuse. Upon admission, a brain CT scan was performed resulting negative and a chest x-ray showed the presence of bilateral basal micronodules, for which a chest CT scan with contrast medium was performed. This examination showed “gross endoluminal thrombotic protrusion originating from the lateral wall of the right atrium with nonhomogenous peripheral impregnation of the contrast medium infiltrating the myocardium and adjacent pericardium” as well as multiple pulmonary nodular lesions with random distribution, angiocentric.

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