case_images: PMC9926002_01
case_images: Contrast-enhanced computed tomography scan of the chest revealing an 8.0-cm
  right apical mass involving the lung and chest wall.
case_images: 10.1177_23247096231154642-fig1.jpg
case_images: PMC9926002_01_10.1177_23247096231154642-fig1.jpg
case_images: fig1-23247096231154642
case_images: A contrast-enhanced computed tomographic (CT) scan of the chest, abdomen, and pelvis showed a small right upper lobe segmental pulmonary embolus, an 8-cm apical lung mass involving chest wall (Figure 1), metastatic thoracic nodes, a colonic mass, 3.6-cm clustered filling defects in the right ventricle, and a 3-cm mass in the left ventricle (Figure 2).
case_images: Contrast-enhanced computed tomography scan of the chest revealing 3.6-cm
  clustered hypodense filling defects in the right ventricle (RV) extending
  into the anterior ventricular wall with overlying soft tissue density, as
  well as a 3.0-cm heterogeneous soft tissue mass in the left ventricular (LV)
  apex appearing to involve pericardium, cardiac fat, and LV myocardium.
case_images: 10.1177_23247096231154642-fig2.jpg
case_images: PMC9926002_01_10.1177_23247096231154642-fig2.jpg
case_images: fig2-23247096231154642
case_images: A contrast-enhanced computed tomographic (CT) scan of the chest, abdomen, and pelvis showed a small right upper lobe segmental pulmonary embolus, an 8-cm apical lung mass involving chest wall (Figure 1), metastatic thoracic nodes, a colonic mass, 3.6-cm clustered filling defects in the right ventricle, and a 3-cm mass in the left ventricle (Figure 2).
case_images: Cardiac MRI with and without contrast revealing a multilobulated RV mass with
  a 1.5 cm x 1.6 cm portion attached to and invading the RV wall and a 1.6 cm
  x 3.0 cm free-floating portion within the RV cavity, as well as 2 LV masses
  (4.8 cm x 1.7 cm in basal-mid lateral wall and 1.9 cm x 2.7 cm in apical
  lateral wall), infiltrating into the LV myocardium and extending into the
  pericardium.. Abbreviations: MRI, magnetic resonance imaging; RV, right ventricle; LV, left
  ventricle.
case_images: 10.1177_23247096231154642-fig3.jpg
case_images: PMC9926002_01_10.1177_23247096231154642-fig3.jpg
case_images: fig3-23247096231154642
case_images: Further diagnostic imaging with cardiac magnetic resonance imaging (MRI; Figures 3 and 4) revealed 2 left ventricular masses (basal-mid lateral and apical lateral wall) infiltrating into the myocardium and extending into the pericardium suggestive of metastatic disease.
case_images: Cardiac magnetic resonance imaging with and without contrast revealing the
  biventricular masses and heterogeneous enhancement on late gadolinium
  enhancement imaging.
case_images: 10.1177_23247096231154642-fig4.jpg
case_images: PMC9926002_01_10.1177_23247096231154642-fig4.jpg
case_images: fig4-23247096231154642
case_images: Further diagnostic imaging with cardiac magnetic resonance imaging (MRI; Figures 3 and 4) revealed 2 left ventricular masses (basal-mid lateral and apical lateral wall) infiltrating into the myocardium and extending into the pericardium suggestive of metastatic disease.