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2D Transesophageal echocardiogram showed a large mobile echodensity (red arrow) attached to the posterior leaflet of the bioprosthetic mitral valve (green arrow).
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Transesophageal echocardiogram (TEE) during stroke workup demonstrated three mobile echodensities on the posterior mitral valve leaflet: the largest measuring 6 mm x 18 mm (Figure 1).
Computed tomography scan of abdomen/pelvis with contrast showed a 3.1 cm x 1.9 cm well-defined fluid collection in spleen (left arrow) and a wedge-shaped cortical hypodensity in right kidney (right arrow).
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Computed tomography (CT) scan demonstrated splenic infarcts with associated splenic abscess and wedge-shaped renal infarcts likely from septic emboli (Figure 2).