A 47-year-old female, with multiple comorbidities, presented with a coughof two months, loss of weight and appetite. She was treated for pneumonia.A chest X-ray showed bilateral reticulonodular opacities. She was noted tohave a vague central abdominal mass and a systolic murmur over the mitralregion. Ultrasonography and computed tomography of the abdomen showedan omental mass and loculated ascites. Oesophagoduedenoscopy showedantral gastritis and during colonoscopy the surgical team was unable to advance the scopebeyond 40 cm due to external compression. An echocardiogram showed a right atrial mass anda pericardial effusion over the posterior wall. A possible diagnosis of atrial myxoma was made.Sputum acid-fast bacillus was negative. The patient was treated empirically for disseminatedtuberculosis and scheduled for bronchoscopy by the pulmonology team.
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