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Figure 1
A. ECG with standard positioned left leads. B. ECG with precordial leads properly repositioned on the right: sinus tachycardia, 110 bpm, flattened T wave in DIII.
Figure 2
Transthoracic echocardiography right apical 4C view (poor accuracy due to dextrocardia): mass filling almost entirely the right atrium; LV hypertrophy.
Figure 3
A. Thoracic CT arterial phase - axial view. Soft tissue mass occupying the right atrium almost completely, continued by thrombosis at the same level, with free right atrial appendage; pleural effusion. B. Abdominal CT venous phase - axial view. Filling defect of the IVC due to intraluminal non-homogeneous mass, with a diameter disproportionate larger than the aorta on the right (IVC largest diameter 53 mm); ascites.
Figure 4
A. Abdominal CT venous phase - axial view. The mass descends in the renal segment, on both renal veins, infiltrating the left kidney with diminished peripheral renal parenchyma preserved. B. Abdominal and pelvic CT venous phase - coronal view. Tumor indicated by the red arrows. Appearance of an infiltrated subcutaneous adipose tissue at the abdominal wall and both thighs.