Transthoracic echocardiogram, parasternal short-axis view. Demonstrates bicuspid aortic valve with a complex vegetation involving the aortic root and extending into the right atrium abutting the tricuspid valve (arrow).RV: right ventricle, TV: tricuspid valve, RA: right atrium, AV: aortic valve, LA: left atrium, MPA: main pulmonary artery.