Expectorate the unexpected

David J Russell and Francis A Ponnuthurai
Med J Aust 2017; 206 (10): . || doi: 10.5694/mja16.00877
Published online: 5 June 2017

A 43-year-old man underwent a computed tomography pulmonary angiography for suspected pulmonary embolism after he presented with an episode of orthopnoea associated with blood-stained expectorate. The only finding was a left atrial mass (Figure, A, arrow). Further history revealed 6 months of progressive postural presyncope, malaise and weight loss of 3 kg.

  • Northern Health, Melbourne, VIC


Competing interests:

No relevant disclosures.


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