Dhruba Borpatra Gohain1, Sujan Dibragede2, Amrita Das3, Tanaya Sarma4
A 53-year-old male presented to our tertiary care center with complaints of
palpitation and difficulty in breathing on exertion which was insidious in onset and
gradually progressive. He had a history of back ache and significant weight loss.
His physical examination and initial laboratory work up revealed no obvious
abnormality. His initial radiological investigation involved chest roentgenogram
which revealed cardiomegaly with mediastinal widening and haziness in left lower
lung zone (Figure 1).
His (electrocardiogram) ECG revealed normal sinus rhythm. Later, patient
underwent echocardiography which revealed normal systolic flow with a mass
extending up to pericardium (measuring 6.9 x 4.1 cm) in left atrium obstructing
mitral flow and minimal pericardial effusion.