Abstract
A 39-year-old man was admitted to this hospital because of chest pain, arthralgias, and a mediastinal mass. He had had pericarditis 1 year earlier and optic neuritis 5 years earlier. On examination, the first heart sound was absent, the second was loud with a prominent split, and there was a new systolic ejection murmur at the left upper sternal border. Imaging showed an infiltrative mediastinal mass surrounding the aorta and narrowing the lumen of the main and right pulmonary arteries.
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