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Intrahepatic cholangiocarcinomas are rare, aggressive tumours. We discuss an afflicted patient who had relatively larger thrombi disseminated into the right atrium. A 63-year-old female patient with intrahepatic cholangiocarcinoma referred with complaints of swellings on her face, upper half of her body, and both arms. On contrast-enhanced thoracic CT scans and transthoracic echocardiograms of the patient an intraluminal thrombus measuring 36.3x25.7mm extending to the orifice of the right atrium was seen. Thrombolytics were not successful in reducing the dimensions of the thrombus.