Abstract
A 32 yr female was referred for surgery for Left atrial myxoma based on
symptoms of dyspnea on exertion , palpitations and echocardiography
revealing a left atrial mass , mostly likely a left atrial myxoma. On
chest X ray , there was right lower lobe white out which instigated the
need to perform a CT chest. On CT Chest a 10.9x14.2x13.6 cm (APxTRxCC)
cm heterogenously hypodense mass was seen along the posterior and
inferior aspect of right hemithorax. It showed multiple vascular
channels within it and broad base towards posterior pleura. It had ill
defined planes with left atrium and extension into the left atrium
through right inferior pulmonary vein. It was causing compression of
right descending pulmonary artery and right lower lobe bronchus with
collapse of right lower lobe. Likey etiology was sarcomatous/malignant
vascular mass. Patient was transferred to oncology department for
further management