“…1 Alternatives, however, include ultrasound-and CT-guided percutaneous transthoracic approaches, which may be valuable in select cases. [2][3][4][5] In this case, CT-guided transthoracic biopsy proved safe and successful after catheter-directed endomyocardial biopsy had been ineffective in diagnosing isolated HCC metastasis to the right ventricle and RVOT, which is an incredibly rare lesion. 6 The clinical presentation of the cardiac metastasis in our case mirrors descriptions in the literature: symptom-free patients who had undergone partial hepatectomy for HCC with no hepatic recurrence.…”