PMC6374942_01
CMR showing endocardial involvement of inferior and inferolateral wall as well as inferior septum.
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This prompted an echocardiogram which revealed a normal ejection fraction with no wall motion abnormalities, but a small pericardial effusion (Figure 3).
TTE, apical 4 chamber view with obliteration of apex of left ventricle from endocardium thickening and thrombus.
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A repeat echocardiogram showed a filling defect in the apex, confirming left ventricular thrombus and findings suspicious for eosinophilic heart disease (as seen in Figure 4).