PMC9801661_01
Chest x-ray upon presentation showing extensive dense perihilar mass-like consolidative opacities.
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F1
The chest x-ray scan revealed extensive dense perihilar mass-like consolidative opacities (Figure 1).
Bronchoscopy showing alveolar hemorrhage.
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F2
Bronchoscopy showed diffuse alveolar hemorrhage (Figure 2).
Zoomed in transthoracic echocardiogram with apical four-chamber view showing the left ventricle (LV), left atrium (LA), posterior (P), and anterior (A) mitral valve leaflets.
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F3
Transthoracic ECG showed severe mitral regurgitation (Figures 3, 4).
Transthoracic echocardiogram with apical four-chamber view in systole, showing severe jet of mitral valve regurgitations.
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F4
Transthoracic ECG showed severe mitral regurgitation (Figures 3, 4).
Mid-esophageal transesophageal echocardiogram with 4-chamber apical view view showing left ventricle (LV) and left atrium (LA). Myxomatous degeneration and severe prolapse of the anterior and posterior leaflets of the mitral valve are seen on this image.
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F5
Transesophageal ECG showed a myxomatous mitral valve with anterior leaflet prolapse along with chordal rupture involving the anterior leaflet, which was flail (Figures 5, 6; Videos 1, 2, 3).
Zoomed in mid esophageal transesophageal echocardiogram with 4-apical view showing left ventricle (LV), left atrium (LA), chordae tendineae (CT), and flail (A) mitral valve leaflet.
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F6
Transesophageal ECG showed a myxomatous mitral valve with anterior leaflet prolapse along with chordal rupture involving the anterior leaflet, which was flail (Figures 5, 6; Videos 1, 2, 3).