Echocardiographic detection of an infected superior vena caval thrombus presenting as a right atrial mass

A patient was found to have a large mobile right atrial mass by two-dimensional echocardiography after developing sepsis due to prolonged central hyperalimentation. Contrast echocardiography was helpful in localizing the origin of the mass. A large infected thrombus emanating from the superior vena cava was removed at operation. The discussion includes a review of the literature on the echocardiography of right atrial masses.