PMC2925271_01
Transesophageal echocardiogram revealing vegetation on the mitral valve leaflets.
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Transesophageal echocardiogram revealed 1.6 x 1.2 cm vegetation on the anterior mitral valve leaflet (Figure 1).
Diffusion weighted MRI after thrombolysis showing left parietal hyperintensities. Areas of focal intensities were also identified in other location including the right cerebral hemisphere, consistent with embolic source as a likely cause of these bilateral and sporadic hyperintense lesions.
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fig2
A diffusion weighted MRI of the brain (Figure 2) revealed bilateral acute ischemic areas (left parietal and frontal regions in the left middle cerebral artery distribution and in the right corona radiata and right occipital lobe) and magnetic resonance angiography was normal.