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We report the case of a 52-year-old man with a history of acute myeloid leukemia who presented to the emergency room with fatigue, dyspnea and chest pain. Initial routine examination showed signs of right heart failure. A CT was requested to rule out pulmonary embolism. The imaging revealed the presence of a cardiac infiltrative mass involving the heart's right free wall that proved to be a chloroma.doi:10.4236/wjcd.2014.43016 fatcat:g3ay4qwml5dw3gbl7uuhqcsylq