PMC7338968_01
A CT scan of the abdomen: yellow arrow - right renal infarction; red arrow - splenic infarction.
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A computed tomography (CT) was done to rule out an acute intra-abdominal pathology; however, it revealed areas of infarctions in the right kidney and spleen (Figure 1).
An electrocardiogram: left axis deviation, ST segment elevation in V2 to V5, and Q waves in inferior leads.
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An electrocardiogram (EKG) demonstrated left axis deviation, ST-segment elevation in V2 to V5, and Q waves in inferior leads signifying a recent inferior-apical infarct (Figure 2).
An echocardiogram: blue arrow - a mass suggestive of a thrombus.
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An echocardiogram done on day 1 demonstrated an estimated left ventricular ejection fraction of 60-65% and severe apical hypokinesis with a 1.8 x 1.0 cm mass suggestive of a thrombus (Figure 3).
A CT head without contrast (during initial hospitalization): green arrow - a subacute right occipital infarct.
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The patient was clinically stable until before a planned discharge when he developed numbness in the left face prompting a CT head to be done, which showed a subacute right occipital infarct (Figure 4).
A CT head without contrast (two days after discharge): yellow arrow - a hemorrhagic right occipital infarct.
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A CT scan of the head done showed hemorrhage in the right occipital lobe with surrounding vasogenic edema, consistent with a hemorrhagic infarct as well as a mass effect on the right occipital horn (Figure 5).