case_images: PMC10895306_01
case_images: Axial section from venous phase of triple-phase CT scan demonstrating unresectable hepatic metastases.
case_images: EDM23-0070fig1.jpg
case_images: PMC10895306_01_EDM23-0070fig1.jpg
case_images: fig1
case_images: He reported symptoms of weight loss, diarrhea, weakness, and abdominal discomfort and was found to have multifocal hepatic lesions occupying 75% of the hepatic parenchyma (largest lesion 8.9 x 7.4 x 5.2 cm) on triphasic CT (Fig. 1).
case_images: Three-dimensional transesophageal echo image of the tricuspid valve from an atrial view. There is carcinoid disease of the tricuspid valve - with severe circumferential thickening of the annulus, leaflets and subvalvular apparatus.
case_images: EDM23-0070fig2.jpg
case_images: PMC10895306_01_EDM23-0070fig2.jpg
case_images: fig2
case_images: Transthoracic and transesophageal echocardiograms revealed torrential tricuspid regurgitation, thickened pulmonic valve with moderate pulmonary regurgitation, moderately reduced right ventricular systolic function, and severe right ventricle dilation (Figs. 2 and 3).
case_images: Mid-esophageal short-axis view at the aortic valve level. Color Doppler demonstrates torrential tricuspid regurgitation related to restricted leaflet motion.
case_images: EDM23-0070fig3.jpg
case_images: PMC10895306_01_EDM23-0070fig3.jpg
case_images: fig3
case_images: Transthoracic and transesophageal echocardiograms revealed torrential tricuspid regurgitation, thickened pulmonic valve with moderate pulmonary regurgitation, moderately reduced right ventricular systolic function, and severe right ventricle dilation (Figs. 2 and 3).