A bunch of grapes in the left ventricle.
A 65-year-old man, heavy smoker, was admitted because of severe exertional dyspnea and vague chest pain for 2 weeks. A chest X-ray was taken and revealed a large mass in the left lung field (Figure 1). Cytological examination of the percutaneous needle aspiration of a lymph node in the anterior mediastinum revealed malignant epithelial cell nests which was strongly suggestive of squamous cell carcinoma. Transthoracic echocardiography was performed and revealed multiple mass-like lesions with central liquefactions in the left ventricle resembling a bunch of grapes.
Ostovan
Mohamad Ali
MA
Cardiology Department, Shiraz University of Medical Sciences, Shiraz, Iran. dzintern@yahoo.com
Aslani
Amir
A
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000556:secondary*; D004452:Echocardiography; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D006352:Heart Ventricles; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male