
Figure 1
A.ECG: Sinus rhythm, 80/min, minor RBBB. B.Chest X-ray: cardiothoracic index=0,53.

Figure 2
Transthoracic echocardiography. A. Left ventricle-normal dimension and wall thickness. B. Normofunctional aortic valve. C, D, F. Enlarged right cavities. E.Medioventricular trabeculation.

Figure 3
Normal right ventricular systolic function. A, B. RVFAC=46%. C. TAPSE=22 mm. D. S’t=16 cm/s. E. RVFWLS= -19,5%.

Figure 4
A. Thickened tricuspid valve leaflets. B. Severe tricuspid regurgitation. C. CW signal jet-dense, triangular, with early peaking contour. D. Systolic reflux in hepatic veins. E. Thickened pulmonary valve cusps, pulmonary stenosis, turbulent diastolic flow. F. Moderate pulmonary valve stenosis with a peak pressure gradient of 38 mmHg.

Figure 5
A, B, C. Enlarged right cavities, thickened tricuspid valve leaflets. D. Pulmonary regurgitation. E. No cardiac metastases.