PMC5949188_01
Echocardiogram: an apical four-chamber view showing a 2.2 x 1.4 cm left ventricular thrombus.
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The echocardiogram revealed severe global hypokinesis with left ventricular ejection fraction (LVEF) of 15-20%, apical akinesis with an organized 2.2 x 1.4 cm fixed thrombus (Figure 1), and a right ventricular systolic pressure estimated at 55 mmHg.
Abdomen/pelvic CT with contrast, coronal, and axial views showing the 4 x 3 cm left pheochromocytoma.
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An abdominal and pelvic CT with contrast was ordered due to gastrointestinal symptoms, and unexpectedly, it showed a 4 x 3 cm enhancing mass on the left adrenal gland (Figure 2).
(a) CMRI showing the resolution of the left ventricular thrombus and an incidental pericardial cyst (asterisk). (b) CMRI showing slight delayed gadolinium enhancement with a left midventricular, midmyocardial septal stripe (superior arrow) and also an inferior right midventricular insertion delayed gadolinium enhancement (inferior arrow).
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Subsequently, a cardiac magnetic resonance imaging (CMRI) performed two weeks after discharge showed moderate dilation of the left ventricle with a LVEF of 23%, diffuse hypokinesis, resolution of the intracavitary left ventricular thrombus, and a midventricular, midmyocardial linear stripe and inferior right midventricular insertion enhancement on the delayed gadolinium enhancement (DGE) (Figures 3(a) and 3(b)).