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A 27-year-old woman presented with a 4 weeks history of progressive dyspnoea and 2 days of pleuritic chest pain. A CT pulmonary angiogram excluded a pulmonary embolus but a large pericardial effusion was noted. An echocardiogram confirmed this (see * in figure 1A) but also identified a small irregular mass attached to the right atrial wall (white arrow, figure 1A). Cardiovascular Magnetic …
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