45 yrs old female presents with breathlessness on exertion, cough 2 months duration not a known diabetic or hypertensive, 2 yrs before she was diagnosed as a case of leiomyosarcoma heart and operated , and she is a known case of b/l bronchiectasis. herewith I enclosed recent cxr, old cxr, old CT chest picture how could proceed now?

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Sternal sutures present. A large cardiac mass projecting from left cardiac border. Both lung fields are clear..

Thank you sir
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As compared to pre op CXR and CT, there is gross enlargement of previous lesion. Likely recurrence of ? Old pathology of Leomyosarcoma. Please get HRCT for confirmation, then proceed for surgical management.

Strnal sutures presnt.

A large mass is projecting from the cardiac region
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LLZ PNEUMONITIS with d heart lesion.

Recurrence of the old pathology?

Metastatic / recurrence needs repeat CT

Thanks
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