PMC6881562_01
MRI of the brain with and without contrast showing focal restricted diffusion within the left posterolateral aspect of the medulla with associated focal heterogeneous T2 hyperintense signal, indicative of an evolving focal subacute cerebrovascular accident. Alternatively, this finding may represent an acute-subacute focus of demyelination in the proper clinical setting.
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A stroke alert was called and magnetic resonance imaging (MRI) of the brain was performed, which showed focal restricted diffusion within the left posterolateral aspect of the medulla with associated focal heterogeneous hyperintense signal, indicative of an evolving focal subacute cerebrovascular accident (Figure 1).
Transthoracic echocardiogram. There is a large, 5.7 cm (L) x 1.9 cm (W), mobile mass on the left side of the interatrial septum; the appearance is consistent with myxoma (echocardiographic contrast reveals vascularity of the mass). The mass travels along with the anterior mitral leaflet and plops in and out of the left ventricle. Transvalvular velocity of the mitral valve is within the normal range, and there is no evidence of stenosis. Left ventricular ejection fraction was in the range of 55% to 60%.
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The mass traveled along the anterior mitral leaflet and plopped in and out of the left ventricle (Figure 2).