Figure 1

Figure 1 : 

Panel A: abdominal computed tomography (arterial phase) showing typical and strongly enhancing carcinoid liver metastasis. Panels B, C and D: cardiac computed tomography; four-chamber view at diastole (Panel B) and systole (Panel C) showing dilatation of the right-sided chambers and an important thickening of the tricuspid valve and subvalvular apparatus, with incomplete tricuspid closure during systole. Note the pericardial effusion (Panel D, arrow). Panels E and F: cardiac computed tomography; multiplanar reconstructions centred on the pulmonary valve during diastole, demonstrating an important leaflet thickening and retraction with incomplete valve closure.