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Left Atrial Myxoma with Organizing Thrombus

Imaging findings

CT chest shows a hyperdense mass in the left atrium, with associated bilateral pleural effusions and signs of systemic heart failure.

Key takeaways

Myxomas can occasionally present as hyperdense masses on non-contrast CT due to organizing thrombus on the tumor surface. Their presence can trigger mitral valve obstruction, leading to post-capillary pulmonary hypertension, pulmonary edema, and pleural effusions.

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