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A 47-year-old woman with suspected hypertrophic cardiomyopathy underwent a cardiac MRI, which detected the presence of an incidental cystic lesion adjacent to the upper GI tract. She was asymptomatic from a GI viewpoint, and her case was discussed in the multidisciplinary team meeting after a CT scan supported the incidental finding (figure 1A and B). The recommendation of the team, supported by the wishes of the patient, was that she would undergo endoscopic ultrasound (EUS) examination and contents aspiration of this abnormality to gain greater clarification.
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