LAUSR

A 34yearold woman with a history of recurrent progressive cervical cancer (PDL1+) with pulmonary disease presented with palpitations. An echocardiogram was performed and identified an intracardiac mass measuring 4×2.7 cm at the apex of the right ventricle with possible involvement of the right ventricular wall (Figure 1). Further evaluation with cardiac magnetic resonance imaging revealed the mass to be nonenhancing and absent of perfusion, favoring a fibrotic process related to the treated tumor. The patient was evaluated by cardiothoracic surgery and managed with therapeutic anticoagulation and telemetry monitoring. She was discharged to home with plans for treatment with pembrolizumab. Twitter Nicole M Spencer @NicoleSpencerMD