Advanced Lung Adenocarcinoma with Multiple Cardiac Masses

A 51-year-old female patient presented to the emergency department (ED) with worsening shortness of breath and fatigue over the past two weeks.However, she denied experiencing palpitations and chest pain.The patient has been diagnosed with stage IV anaplastic lymphoma kinase-positive non-small-cell lung cancer (NSCLC) with multiple metastatic deposits in the liver, bone, and central nervous system.Furthermore, she was receiving lorlatinib for the neoplasm, along with rivaroxaban for deep vein thrombosis (DVT) and pulmonary embolism (PE), diagnosed two months before this admission.At that time, a small mobile mass measuring 2.7x2.3 cm in the right atrium (RA) was identified by chest computed tomography (CT) and transthoracic echocardiogram (TTE).It was designated and treated as a thrombus.