There is thrombus within the right atrium, extending into the superior aspect of the inferior vena cava. There is possible extension of thrombus from the right atrium into the left atrium suggesting large ASD. Correlation with thoracic echo recommended. Pulmonary emboli are noted within the superior and inferior branches of bilateral pulmonary arteries.
There are a few pre-tracheal and para-aortic sub-cm mediastinal lymph nodes noted, however, no soft tissue mediastinal masses noted.