Photoclinic Diagnosis: Right Ventricular Myxoma Presenting as Pulmonary Embolism

A26-year-old man was admitted to Masih Daneshvari Hospital for investigation of brisk hemoptysis. The disease had started around four months prior to his admission with a sudden massive bout of hemoptysis and expectoration of one-half to one glass of bloody sputum. The episodes of hemoptysis occurred every two to three days and occasionally every day. He was an otherwise healthy young man without any associated symptoms. He had no history of smoking or alcohol consumption. He was a civil engineer with no history of recent traveling. The investigations performed prior to his admission showed a normal chest X-ray, negative purified protein derivative (PPD), and several negative sputum tests for Mycobacterium bacilla. A previous chest computed tomography (CT) had shown no pathology.