Presentation
History of HCC and IVC thrombosis.
Patient Data
Age: 55 years
Gender: Male
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
From the case:
Intracardiac tumor thrombi
{"study":{"id":43970,"case_slug":"intracardiac-tumour-thrombi","modality":"Ultrasound","series":[{"id":17512795,"content_type":"image/jpeg","frames":[{"id":17512795,"width":1052,"height":1240,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"123682404f51101e1985d66cfb3292_tiny.jpeg","jumbo":"123682404f51101e1985d66cfb3292_jumbo.jpeg","small":"123682404f51101e1985d66cfb3292_small.jpeg","thumb":"123682404f51101e1985d66cfb3292_thumb.jpeg","medium":"123682404f51101e1985d66cfb3292_medium.jpeg","gallery":"123682404f51101e1985d66cfb3292_gallery.jpeg","big_gallery":"123682404f51101e1985d66cfb3292_big_gallery.jpeg","original":"123682404f51101e1985d66cfb3292.jpg"}]},"perspective":"Oblique","specifics":null},{"id":17512802,"content_type":"image/jpeg","frames":[{"id":17512802,"width":1016,"height":696,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"24d2d715ea380f5373e33a17ee1fb1_tiny.jpeg","jumbo":"24d2d715ea380f5373e33a17ee1fb1_jumbo.jpeg","small":"24d2d715ea380f5373e33a17ee1fb1_small.jpeg","thumb":"24d2d715ea380f5373e33a17ee1fb1_thumb.jpeg","medium":"24d2d715ea380f5373e33a17ee1fb1_medium.jpeg","gallery":"24d2d715ea380f5373e33a17ee1fb1_gallery.jpeg","big_gallery":"24d2d715ea380f5373e33a17ee1fb1_big_gallery.jpeg","original":"24d2d715ea380f5373e33a17ee1fb1.jpg"}]},"perspective":"Oblique","specifics":null}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"lausanga","case_id":41188,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
There is a round echogenic lesion within the IVC extending to the right atrium.
Mild right pleural effusion.
From the case:
Intracardiac tumor thrombi
{"study":{"id":44231,"case_slug":"intracardiac-tumour-thrombi","modality":"CT","series":[{"id":17765138,"content_type":"image/jpeg","frames":[{"id":17765138,"width":512,"height":512,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"a257be04d8a672f5a4685f83f4476b_tiny.jpeg","jumbo":"a257be04d8a672f5a4685f83f4476b_jumbo.jpeg","small":"a257be04d8a672f5a4685f83f4476b_small.jpeg","thumb":"a257be04d8a672f5a4685f83f4476b_thumb.jpeg","medium":"a257be04d8a672f5a4685f83f4476b_medium.jpeg","gallery":"a257be04d8a672f5a4685f83f4476b_gallery.jpeg","big_gallery":"a257be04d8a672f5a4685f83f4476b_big_gallery.jpeg","original":"a257be04d8a672f5a4685f83f4476b.jpg"}]},"perspective":"Axial","specifics":"C+ portal venous phase"},{"id":17765139,"content_type":"image/jpeg","frames":[{"id":17765139,"width":512,"height":512,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"13c06e5855e9f15d580aa3962f1c00_tiny.jpeg","jumbo":"13c06e5855e9f15d580aa3962f1c00_jumbo.jpeg","small":"13c06e5855e9f15d580aa3962f1c00_small.jpeg","thumb":"13c06e5855e9f15d580aa3962f1c00_thumb.jpeg","medium":"13c06e5855e9f15d580aa3962f1c00_medium.jpeg","gallery":"13c06e5855e9f15d580aa3962f1c00_gallery.jpeg","big_gallery":"13c06e5855e9f15d580aa3962f1c00_big_gallery.jpeg","original":"13c06e5855e9f15d580aa3962f1c00.jpg"}]},"perspective":"Sagittal","specifics":"C+ portal venous phase"},{"id":17765142,"content_type":"image/jpeg","frames":[{"id":17765142,"width":512,"height":512,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"6d5c40209bc834aa9dea988f1482f8_tiny.jpeg","jumbo":"6d5c40209bc834aa9dea988f1482f8_jumbo.jpeg","small":"6d5c40209bc834aa9dea988f1482f8_small.jpeg","thumb":"6d5c40209bc834aa9dea988f1482f8_thumb.jpeg","medium":"6d5c40209bc834aa9dea988f1482f8_medium.jpeg","gallery":"6d5c40209bc834aa9dea988f1482f8_gallery.jpeg","big_gallery":"6d5c40209bc834aa9dea988f1482f8_big_gallery.jpeg","original":"6d5c40209bc834aa9dea988f1482f8.jpg"}]},"perspective":"Coronal","specifics":"C+ portal venous phase"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"lausanga","case_id":41188,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Filling-defect within IVC that shows continuity with the primary tumor in the liver and extends to the right atrium, consistent with a tumor thrombus.
Mild right pleural effusion.
Moderate free ascites and hydrocele.
Case Discussion
Features of a tumor thrombus extending from the primary liver tumor into IVC and extending to the right atrium.
Unable to process the form. Check for errors and try again.