Lung Cancer Presenting with Cardiac Invasion: A Case Report with Imaging Findings

Cardiac metastasis from lung cancer as the first presentation is a relatively rare phenomenon and has a poor prognosis.Lung cancers can cause myocardial involvement through direct invasion, hematogeneous spread or lymphatic spread.Contrary to popular belief, cardiac metastases are not uncommon in oncology practice.Myocardial metastases are usually present in advanced stages of different cancer types and are only detected by imaging techniques.Cardiac magnetic resonance imaging (MRI) is the preferred imaging technique for the diagnosis and characterisation of cardiac masses.We report a case of lung cancer presenting with direct cardiac invasion evaluated with a transesophageal echocardiogram, computed tomography, and MRI.This report highlights cardiac metastasis as the rare initial presentation of lung cancer and the importance of detailed radiological evaluation in the differential diagnosis of cardiac masses.