case_images: PMC6469271_01
case_images: Computed tomography (CT) scan of the chest with contrast. CT scan of the
  chest done using pulmonary embolism (PE) protocol that demonstrates
  extensive PE extending throughout the entire right pulmonary artery with
  sparing of the left pulmonary artery, seen in (a) axial, (b) coronal, and
  (c) sagittal views. Panel (c) also demonstrates the right atrial myxoma,
  which was identified as the source of the PE.
case_images: 10.1177_2048004018817606-fig1.jpg
case_images: PMC6469271_01_10.1177_2048004018817606-fig1.jpg
case_images: fig1-2048004018817606
case_images: CT angiogram chest showed a large embolus in the distal main right pulmonary artery straddling the right upper and lower lobe pulmonary artery divisions; almost completely occluding flow to the segmental arteries (Figure 1).
case_images: Atrial myxoma on multi-modality imaging. (a) Transthoracic echocardiogram
  (TTE) (RA/RV view) showing mobile echo dense right atrial mass, tethered to
  the inter-atrial septum, consistent with right-sided atrial myxoma. (b) TTE
  xPlane of subcostal view depicting right atrial myxoma and origination from
  inter-atrial septum. (c) TTE with 3D reconstruction of right atrial myxoma
  seen through the tricuspid valve. (d) Right atrial myxoma with stalk
  tethered to inter-atrial septum on CT chest with contrast, also
  demonstrating complete opacification of right pulmonary artery with embolic
  myxoma.
case_images: 10.1177_2048004018817606-fig2.jpg
case_images: PMC6469271_01_10.1177_2048004018817606-fig2.jpg
case_images: fig2-2048004018817606
case_images: Transthoracic echocardiogram (TTE) showed a large, highly mobile mass attached to the right inter-atrial septum (Figure 2) prolapsing through the tricuspid valve in diastole highly suggestive of a cardiac myxoma (Supplemental Video 1).
case_images: (a) Atrial myxoma present in the right atrium. An intraoperative photograph
  of median sternotomy and right atrial mass resection with cardiac myxoma
  visible within the right atrium (centered in image). (b) Three papillary
  yellow and red soft tissue fragments from the right atrium, measuring
  2.9 x 2.3 x 2.1 cm in aggregate.
case_images: 10.1177_2048004018817606-fig3.jpg
case_images: PMC6469271_01_10.1177_2048004018817606-fig3.jpg
case_images: fig3-2048004018817606
case_images: The patient underwent median sternotomy, right atrial mass resection, repair of atrial septal defect with pericardium, and pulmonary embolectomy (Figure 3).