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Hepatocellular carcinoma (HCC) is a well-known complication of chronic hepatitis B. Most cases of HCC are diagnosed at an advanced stage and the tumor spreads most frequently to the lungs, peritoneum, adrenal glands, and bones. Intra-cavitary cardiac extension of HCC is a very rare entity. We present a case of HCC in the background of chronic hepatitis B with the atypical presentation of metastasis to right atrium, with inferior vena cava and hepatic veins having normal patency.
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