PMC9887676_01
(A) MRI brain:T2-weighted image showing hyperintense signals suggestive of acute infarct in the right posterior cerebral artery territory. (B) MRI brain:T2-weighted image showing hyperintense signals suggestive of acute infarcts involving the left posterior cerebral artery territory, left parietal cortex and left superior frontal gyrus.
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Magnetic resonance imaging (MRI) of the brain revealed an acute ischaemic stroke involving the right posterior cerebral artery (PCA) territory (Figure 1A). Brain MRI examination revealed an acute ischaemic stroke involving the left PCA territory, left parietal cortex and left superior frontal gyrus (Figure 1B).
Twelve-lead ECG recorded at 25 mm/s with a gain setting of 10 mm/mV showing normal sinus rhythm with non-specific T waves inversions in leads V5 and V6.
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T waves inversions in leads V5 and V6 (Figure-2). The inflammatory markers were unremarkable.
(A)TTE-apical four-chamber view showing masses attached to mitral leaflets. (B) TEE-midesophageal 2-chamber view showing masses on mitral leaflets. (C)TTE-apical four-chamber view showing recurrence of masses on mitral leaflets. (D) TEE-midesophageal two-chamber view showing recurrence of masses on mitral leaflets.
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TTE revealed a mass of size 14 x11 mm on the P2 of the mitral valve along with severe mitral regurgitation (Figure 3C). TEE revealed masses over the mitral leaflets (Figure 3D) (see
(A) Histological examination of mitral valve tissue. Haematoxylin & eosin staining. Original magnification x 100. Papillary excrescences. (B)Special stain, elastin van Gieson (EVG) staining. Original magnification x 200. Fragmented reticulin fibres.
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Histopathological examination of the mass revealed papillary excrescences by haematoxylin and eosin staining (Figure 4A) along with fragmented reticulin fibres in elastin van geison staining (Figure 4B), which confirmed the diagnosis of PFE.