case_images: PMC11706617_01
case_images: Abdominal computer tomography. Abdominal computer tomography (CT) scan showing radiologically stable liver disease (no new lesions and no change in size of pre-existing lesions) at the beginning of sorafenib treatment (left) and three years later at the time of symptomatic onset and sorafenib suspension (right).
case_images: cureus-0017-00000076993-i01.jpg
case_images: PMC11706617_01_cureus-0017-00000076993-i01.jpg
case_images: FIG1
case_images: The patient had radiological stable disease at each response assessment since the beginning of treatment (Figure 1).
case_images: Electrocardiogram. Electrocardiogram at time of symptomatic onset showing atrial fibrillation with rapid ventricular response.
case_images: cureus-0017-00000076993-i02.jpg
case_images: PMC11706617_01_cureus-0017-00000076993-i02.jpg
case_images: FIG2
case_images: The patient was admitted to the emergency department with symptoms of productive cough, dyspnea, orthopnea, and fever, with a subsequent diagnosis of previously undocumented pleural effusion concomitant with pneumonia and AF with rapid ventricular response (RVR) (Figure 2).