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Roentgenogram of the Month |

A 59-Year-Old Asymptomatic Man With Systolic Murmur and Mediastinal Mass *

Atul Aggarwal; Jeffrey S. Klein; Robert W. Battle
Author and Funding Information

*From the Departments of Medicine (Dr. Aggarwal and Battle) and Radiology (Dr. Klein), University of Vermont, Burlington, VT.

Correspondence to: Atul Aggarwal, MD, McClure 1, MCHV Campus, University of Vermont, College of Medicine, 111 Colchester Ave, Burlington, VT 05401; e-mail: atul.aggarwal@vtmednet.org



Chest. 2003;123(4):1289-1292. doi:10.1378/chest.123.4.1289
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Extract

A 59-year-old man came to medical attention due to a heart murmur noted approximately 10 years ago. He gave no history of a cardiac murmur as a child. The patient had been asymptomatic in this time period. More specifically, he denied dyspnea on exertion, chest pain, peripheral edema, palpitations, or syncope. The patient was a lifelong nonsmoker, and had no weight loss, fevers, or sweats. A surface echocardiogram done 3 years ago had shown a cyst-like structure adjacent to the left ventricle.

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