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A 66-year-old woman was admitted to our hospital for a 2-year history of shortness of breath on exertion and intermittent fatigue, without chest pain and palpitations. Her medical history was unremarkable. Physical examination found normal vital signs, but a grade 2/6 systolic murmur best heard at the lower left sternal border; she had no lower extremity oedema. ECG and blood test showed no obvious abnormality. Transthoracic echocardiography showed an intracardiac mass concomitant with moderate tricuspid regurgitation (figure 1A), since the abnormal findings, a contrast-enhanced chest CT (figure 1B) was performed for further evaluation.
Contributors WZ: image and clinical data retrieval and manuscript organisation. FP and JW: manuscript revision.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent for publication Obtained.