Abstract
A 64-year-old male patient was referred with 3-month history of progressive shortness of breath and nonexertional chest pain radiating to the back. The initial diagnosis on computed tomography (CT) scan was pulmonary embolus (Figure 1, A-C) and managed with anticoagulation therapy for 6 months. Follow-up CT demonstrated growth of the mass, prompting referral to thoracic surgery for further evaluation. A transthoracic echocardiogram demonstrated mild flow acceleration across the pulmonary valve and estimated pulmonary pressures of 55 to 60 mm Hg.
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