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  Indian J Med Microbiol
 

Figure 13: A 25-year-old female with no previous comorbidities presented with fever and weight loss of 2-month duration, and dyspnea with palpitations of 1-month duration. Routine investigations revealed elevated ESR with a right atrial mass of size 2 cm × 3 cm on echocardiography. (a) Axial SSFP and (b) sagittal SSFP images show a large sessile mass lesion (blue arrow) involving the right atrial appendage and extending along the lateral wall inferiorly up to inferior vena cava (I) opening. The mass effect over the distal superior vena cava (S) is present. (c) Sagittal LGE images where the center of the mass shows multiple nonenhancing lesions with peripheral intense enhancement. GeneXpert for TB was positive. Final diagnosis: Tuberculous granulomas. ESR: Erythrocyte sedimentation rate, LGE: Late gadolinium enhancement, SSFP: Steady-state free precession, TB: Tuberculosis

Figure 13: A 25-year-old female with no previous comorbidities presented with fever and weight loss of 2-month duration, and dyspnea with palpitations of 1-month duration. Routine investigations revealed elevated ESR with a right atrial mass of size 2 cm × 3 cm on echocardiography. (a) Axial SSFP and (b) sagittal SSFP images show a large sessile mass lesion (blue arrow) involving the right atrial appendage and extending along the lateral wall inferiorly up to inferior vena cava (I) opening. The mass effect over the distal superior vena cava (S) is present. (c) Sagittal LGE images where the center of the mass shows multiple nonenhancing lesions with peripheral intense enhancement. GeneXpert for TB was positive. Final diagnosis: Tuberculous granulomas. ESR: Erythrocyte sedimentation rate, LGE: Late gadolinium enhancement, SSFP: Steady-state free precession, TB: Tuberculosis