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British Journal of Radiology (2007) 80, e50-e53
© 2007 British Institute of Radiology
doi: 10.1259/bjr/94870835
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Cardiac metastasis: a cause of recurrent pulmonary emboli

A D Borsaru, MBBS, RANZCR 1 K K Lau, MBBS, RANZCR 2 and P Solin, MBBS, FRACP 3

1 Monash Medical Centre, 2 Diagnostic Imaging Department and 3 Department of Respiratory Medicine, 246 Clayton Road, Clayton, Melbourne, VIC, Australia


Figure 1
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  		Figure 1. Ventilation–perfusion lung scan (left posterior oblique view) at the time of presentation shows several unmatched ventilation perfusion defects, consistent with pulmonary emboli.

 

Figure 2
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  		Figure 2. Ventilation–perfusion lung scan at the time of the second presentation shows a marked increase in the number of the unmatched ventilation perfusion defects, consistent with recurrent pulmonary emboli.

 

Figure 3
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  		Figure 3. Transthoracic echocardiogram showing a large mass lesion arising from the right ventricle and extending across the tricuspid valve into the right atrium.

 

Figure 4
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  		Figure 4. Post-intravenous contrast axial CT scan through the mediastinum shows a large pulmonary embolus in the distal portion of the right main pulmonary artery.

 

Figure 5
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  		Figure 5. Post-contrast axial CT scan through the thorax shows a large irregular filling defect in the right ventricle, extending to the right atrium through the tricuspid valve.

 

Figure 6
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  		Figure 6. Macroscopic appearance of the excised grey, pale, friable intracardiac mass.

 

Figure 7
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  		Figure 7. Histopathologically the mass consists of poorly differentiated anaplastic cells with keratinization and intercellular bridge formation consistent with metastasis arising from a squamous cell carcinoma of the uterine cervix.

 




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