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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Transthoracic echocardiogram showing cardiac mass involving the left atrium in four-chamber view and &#40;B&#41; in three-chamber view &#40;arrows&#41;&#46; &#40;C and D&#41; Cardiac magnetic resonance imaging revealing a posterior mediastinal mass with cardiac infiltration &#40;arrows&#41;&#46; &#40;E and F&#41; Positron emission tomography&#47;computed tomography showing a hypermetabolic mass located in the posterior mediastinum&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 62-year-old man with a history of smoking and alcohol consumption went to the emergency room due to a one-week history of coughing and progressively worsening dyspnea &#40;especially when in a left lateral decubitus position&#41;&#44; as weight loss over one month&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The echocardiogram &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A and B&#41; showed a cardiac mass occupying the pericardial cavity and the left atrium &#40;LA&#41;&#44; with a maximum diameter of 28 mm&#46; Chest computed tomography &#40;CT&#41; showed a large nodular formation in the LA&#46; The lesion was heterogeneous &#40;96 mm&#215;57 mm&#41;&#44; and invading adjacent structures&#46; Cardiac magnetic resonance imaging &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>C and D&#41; revealed a paracardiac mass in the posterior mediastinum&#44; extending from the pulmonary artery &#40;PA&#41; to the diaphragm &#40;91 mm&#215;63 mm&#215;110 mm&#41;&#44; infiltrating the LA &#40;27 mm&#41; and the left branch of the PA&#46; It was isointense on T1 and hyperintense on T2&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Positron emission tomography&#47;CT &#40;PET&#47;CT&#41; showed a hypermetabolic mass located in the posterior mediastinum &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>E and F&#41;&#44; no cleavage planes with adjacent structures&#44; which are characteristics of a malignant lesion&#46; Additionally&#44; there was paratracheal&#44; hilar and infraclavicular adenopathy&#46; He underwent a biopsy of the mediastinal lesion&#44; and a diagnosis of diffuse large B-cell lymphoma &#40;Ann Arbor II-A stage&#41; was made&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">He began R-CHOP therapy &#40;rituximab&#44; cyclophosphamide&#44; doxorubicin&#44; vincristine&#44; prednisone&#41; with a favorable clinical response&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">PET&#47;CT was subsequently repeated&#44; which showed a significant reduction of the mass&#44; and only a small hypodense defect in the atrium&#46; However&#44; the patient became infected with SARS-CoV2 and died four months after starting treatment&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The authors suggest that in this case tumor invasion of the left PA caused a ventilation-perfusion imbalance&#46; This was exacerbated by the left lateral decubitus position&#44; since there is a relative reduction in perfusion of the right PA by gravity&#46; Additionally&#44; left lateral decubitus potentially leads to a partial obstruction of the pulmonary veins&#44; reducing atrial blood inflow and exacerbating pulmonary edema&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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