case_images: PMC5093894_01
case_images: A 76-year-old woman with hypertension and pulmonary embolism presented with dyspnea, fever, and weight loss. Chest X-ray shows previous inflammatory fibrosis, cicatricial bronchiectasis, and volume loss with pleural thickening in the right lung (arrow).
case_images: JCIS-6-45-g002.jpg
case_images: PMC5093894_01_JCIS-6-45-g002.jpg
case_images: F1
case_images: Chest X-ray revealed patchy multifocal consolidations, calcific granulomas, bronchiectasis, and volume loss with pleural thickening in the right lung [Figure 1]. Transthoracic echocardiography showed echogenic mass and no color flow in the right pulmonary artery [Figure 2 and Videos 1, 2].
case_images: A 76-year-old woman with hypertension and pulmonary embolism presented with dyspnea, fever, and weight loss. Echocardiography shows oval shaped echogenic mass in the right pulmonary artery in the subcostal view (red arrow). There is no color flow Doppler in the right pulmonary artery (white arrow). AV: Aortic valve, MP: Main pulmonary trunk. RP: Right pulmonary artery, LP: Left pulmonary artery.
case_images: JCIS-6-45-g003.jpg
case_images: PMC5093894_01_JCIS-6-45-g003.jpg
case_images: F2
case_images: Transthoracic echocardiography showed echogenic mass and no color flow in the right pulmonary artery [Figure 2 and Videos 1, 2].
case_images: A 76 year old woman with hypertension and pulmonary embolism presented with dyspnea, fever, and weight loss. Echocardiography shows oval shaped echogenic mass in the right pulmonary artery in the subcostal view.
case_images: JCIS-6-45-g004.jpg
case_images: PMC5093894_01_JCIS-6-45-g004.jpg
case_images: F3
case_images: Chest computed tomography (CT) revealed a low-attenuation filing defect that occupied the entire luminal diameter of the right pulmonary artery [Figure 3].
case_images: A 76 year old woman with hypertension and pulmonary embolism presented with dyspnea, fever, and weight loss. Echocardiography shows no color flow Doppler in the right pulmonary artery.
case_images: JCIS-6-45-g005.jpg
case_images: PMC5093894_01_JCIS-6-45-g005.jpg
case_images: F4
case_images: It showed an intense hypermetabolism in the right proximal pulmonary artery, suggesting the presence of malignancy [Figure 4].
case_images: A 76-year-old woman with hypertension and pulmonary embolism presented with dyspnea, fever, and weight loss. CT of the chest reveals the tumor is occupying the right pulmonary artery (arrow).
case_images: JCIS-6-45-g006.jpg
case_images: PMC5093894_01_JCIS-6-45-g006.jpg
case_images: F5
case_images: A biopsy was confirmed malignant spindle cell neoplasm, consistent with sarcoma [Figure 5].