Figure 1: Echocardiography showing extracardiac mass (cystic SOL) compressing the left atrium and left upper and lower pulmonary veins with pulmonary venous flow abnormality. (a) Parasternal long axis view (PLAX) showing the colour doppler image of the turbulent flow of the pulmonary vein inflow into the left atrium, with a SOL related posteriorly to LA (b) Apical Four chamber view showing the SOL in relation with LA (c) Continuous doppler at the Pulmonary inflow area in the PLAX view (d) Pulmonary vein draining into LA with turbulence with the SOL related posteriorly