PMC9485833_01
Dynamic change on computed tomography chest of the patient. Chest CT scans show with large area consolidation of the right lung on day 1 and improved after 5 days admitted.
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F1
Chest radiograph and computed tomography (CT) scan demonstrated large area consolidation in the right lung (Figure 1). Consolidation of the right lung on chest radiography and CT improved 5 days after admission (Figure 1).
Head imaging of the patient. (D0) Normal head CT before admitted. His CTPA showed embolism of left pulmonary artery branches (red arrow). (D1) Ischemic infarction of left frontal and temporal lobes was shown in his head CT on day 1 after admitted, CTA examination showed stenosis of the left MCA (red arrow). (D5) CT scan of head on day 5 showed no obvious difference compared to day 1, however, CTA examination showed occlusion of right MCA (red arrow).
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F2
An immediate CT scan of the head showed an acute infarction of the left frontal and temporal lobes, and computed tomography angiography (CTA) examination showed occlusion of the left middle cerebral artery (MCA) (Figure 2). His CT scan of head showed no obvious difference compared to admitted; however, CTA examination showed new onset occlusion of right MCA and right internal carotid artery, likely due to dislodgement of the left ventricular thrombus (Figure 2).
Transthoracic echocardiogram imaging of the patient. (A) Parasternal window parasternal long-axis view. (B) Apical window four-chamber view. (C,D) A mural thrombus was identified attached to the posteromedial papillary muscle.
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F3
A mural thrombus (measuring 2.8 x 1.8 cm) was identified attached to the posteromedial papillary muscle of the left ventricular apex (Figure 3).