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Cardiac aspergillomas are rare and associated with high mortality. We present a case of right ventricular cardiac aspergilloma in an asymptomatic renal transplant recipient. Intracavitary aspergilloma is an important consideration in evaluation of an intracardiac mass in an immunocompromised patient. (Level of Difficulty: Advanced.).

Keywords: CMR, cardiac magnetic resonance; CT, computed tomography; IE, infectious endocarditis; PASP, pulmonary artery systolic pressure; TEE, transesophageal echocardiography; TTE, transthoracic echocardiography; TV, tricuspid valve; aspergilloma; cardiac imaging; intracardiac mass renal transplant.

doi: doi.org/10.1016/j.jaccas.2021.02.017 PMCID: PMC8387809