Left atrial thrombus
Presentation:
Increasing shortness of breath with pleuritic chest pain.
Patient Data:
The CT demonstrates a large soft tissue density within the left atrium. Further smaller mass within the left ventricle. Bilateral pleural effusions and a hiatus hernia.
Case Discussion:
The differential is between atrial myxoma and atrial thrombus; the latter is more likely here since there is a second ventricular mass and no septal attachment.


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