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A 22-Year-Old Man With Back Pain, Dilated Veins Over Chest, and Mass in Right Atrium

      Case Presentation

      A 22-year-old nonsmoker male, without any previous comorbidity, presented with 4 months’ history of right upper back pain. Pain was constant dull aching type, nonpleuritic, aggravated by lying on the right lateral side and partially relieved on taking analgesics. He then developed progressive dyspnea over 2 months and noticed dilated veins over his neck and front of chest. There was associated unintentional weight loss of 6 kg. There was no history of cough, expectoration, wheeze, or hemoptysis, nor any episodes of night sweats or fever.
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