Figure 1

Computed Tomography images. CT of (a) the chest, (b) abdomen and (c) pelvis (soft-tissue gating). (a) A large hypodense filling defect is seen, 3.1 cm in diameter, traversing the right atrium to the right ventricle (arrow) with bilateral small pleural effusions and atelectasis. There was no evidence of a pulmonary embolism (images not shown); (b) Distension of the inferior vena cava (IVC) with the same tissue density thrombus (arrow) as was seen in (a) and with evidence of some linear enhancement, difficult to appreciate here, suggestive of a tumor thrombus; (c) A 6.2 x 3.9 cm lobulated pelvic mass (arrow) which was inseparable from the internal iliac vein.