PMC4736389_01
2D echocardiogram showing large sessile vegetation attached to anterior mitral valve leaflet.
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Transient ischaemic attack due to possible septic emboli was suspected and 2D echocardiogram was requested which showed a large (18 mm) sessile vegetation attached to the anterior mitral valve leaflet (Figure 1) associated with grade 2 mitral regurgitation and normal left ventricular systolic function.
Colonoscopy image of the ascending colon at the level of hepatic flexure showing the tumour.
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fig2
The patient underwent a colonoscopy which confirmed the growth at the level of hepatic flexure (Figure 2), biopsy of which revealed an adenocarcinoma.