Mass in the LVOT

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TEEintraoppreopME4CV2D
Short case presentation
75 y.o. male with a history of HTN, COPD, Colon and Prostate Cancer who is on Zocor, ASA, and Metoprolol.
A pre-chemotherapy echocardiogram was abnormal. A cardiac cath showed no coronary artery disease.

Please review the TEE and give your assessment.
Questions to consider are:

What is the differental diagnosis?
Do colon or prostate cancer metastasize to the heart?
Can trauma from the AR jet cause this condition?
What is the recommended therapy?