A 44-year-old female presented to the hospital with vaginal bleeding along with exertional chest discomfort. The patient had no past history of cardiovascular disease. Vital examination at the time of presentation Was insignificant Pulse-101 beats/min Normal electrocardiogram Gynecological evaluations were conducted which further instigated investigations and evaluations.

Initial radiological findings: Whole body positron-emitting tomography-computed tomography (PET-CT) (Figure 1) was conducted which revealed a right ventricular mass which possibly could be malignancy or tumor thrombus with an enlarged lymph node in left inguinal area and retroperitoneum without other distant metastasis. Further evaluation of tachycardia and dyspnea was conducted a week before the patient visited the hospital. Transthoracic echocardiography (Figure 2) and pro-B-type natriuretic peptide measurement were…