Elongated inferior vena cava and intracardiac mass: Thrombus in-transit or metastasis

Cardiac masses are rare entities categorized as either neoplastic or non-neoplastic. We present a case of cardiac mass from the inferior vena cava (IVC) extending to right atrium, ventricle and pulmonary artery that was diagnosed by computed tomography (CT), transthoracic echocardiography (TTE), cardiovascular magnetic resonance (CMR) imaging. Differential diagnosis atrial includes myxoma, thrombus, renal cell carcinoma metastatic tumor. This emphasizes importance multi-modal imaging during diagnostic work-up when unknown origin is present.