PMC6668537_01
MRI of the brain without contrast showing small foci of diffusion restriction involving the right frontal lobe and left cerebellar hemisphere consistent with areas of acute infarctions. Abbreviation. MRI: magnetic resonance imaging.
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fig1
Magnetic resonance imaging (MRI) of the brain showed acute infarctions in the right frontal lobe and left cerebellar hemisphere, as shown in Figure 1.
TEE demonstrating an echogenic density in the aortic arch, consistent with thrombus. Abbreviation. TEE: transesophageal echocardiogram.
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fig2
Transesophageal echocardiography (TEE) showed 0.9 X 0.7 cm echogenic density in the aortic arch, as shown in Figure 2.
CT Angiogram of head and neck showing a 1.3 cm filling defect in the proximal aortic arch abutting the lateral wall of the aortic arch, consistent with thrombus. Abbreviation. CT: computed tomography.
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fig3
Computed tomography (CT) angiogram did not show any evidence of atherosclerotic disease but showed a 1.3 cm filling defect in the aortic arch, consistent with thrombus as shown in Figure 3.
Follow-up TEE performed four months later demonstrating that prior echogenic mass in the aortic arch had decreased in size. Abbreviation. TEE: transesophageal echocardiogram.
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fig4
Repeat TEE at four months showed that the prior echogenic mass in the aortic arch had decreased in size, as shown in Figure 4.