UNASSIGNED: We present the case report of a 19-year-old @entity1 with @entity740 due to chronic @entity631 , in hemodialysis (HD) by central catheter, with the incidental finding of a mass of 28x16 mm in @entity13678 ( @entity13678 ). The diagnosis of @entity715 , @entity884 or @entity3291 were considered. Given the context of immunosuppression and difficult access vascular therapeutic practice has proved complex. Although Doppler echocardiography suggested @entity715 in @entity13678 , nuclear magnetic resonance imaging (MRI) indicated for the diagnosis of @entity3291 in @entity13678 . In both conditions, the proposed surgical approach was limited by intense immunosuppression history and the risk of @entity166 . Throughout the treatment, the general state of K.M.F. remained satisfactory and revealed no signs or symptoms related to @entity409 . The absence of fever and negative blood cultures excluded @entity884 . Prior echocardiogram report without masses in the @entity13678 decreased the chance of @entity299 . The therapeutic response to anticoagulation confirmed the diagnosis of @entity715 . After 180 days of anticoagulation, there was significant reduction in mass. The @entity1 developed asymptomatic. The diagnosis of mass in @entity13678 can be a challenge and only the evolution of the case was able to guide the appropriate conduit. While MRI has high sensitivity and specificity for the diagnosis of @entity299 , the interpretation of images can be subjective. Controversial point is the removal of the catheter in such cases, which is subject discussed throughout the report.

@entity1 in chronic hemodialysis with right atrial mass: XXXX , fungal endocarditis or atrial myxoma?

@entity1 :: ('9606', 'Species') :: ['patient'] @entity13678 :: ('MESH:D064752', 'Disease') :: ['RA', 'right atrium'] @entity409 :: ('MESH:D008107', 'Disease') :: ['atrial dysfunction'] @entity3291 :: ('MESH:D009232', 'Disease') :: ['myxoma'] @entity740 :: ('MESH:D051436', 'Disease') :: ['chronic kidney disease'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac myxoma'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombus', 'thrombosis'] @entity631 :: ('MESH:D005921', 'Disease') :: ['glomerulonephritis'] @entity166 :: ('MESH:D003141', 'Disease') :: ['infectious complications'] @entity884 :: ('MESH:D004696', 'Disease') :: ['infective endocarditis']
@entity715 :: (MESH:D013927,Disease) :: ['thrombus']
