Elusive left ventricular thrombus: Diagnostic role of cardiac magnetic resonance imaging-A case report and review of the literature

Figure 1 Transthoracic echocardiogram without and with definity contrast demonstrated absence of thrombus. A: Parasternal short axis of transthoracic echocardiogram; B: Apical 4-chamber of transthoracic echocardiogram; C: Apical 2-chamber of transthoracic echocardiogram; D: Parasternal short axis transthoracic echocardiogram with definity contrast; E: Apical 4-chamber transthoracic echocardiogram with definity contrast; F: Apical 2-chamber transthoracic echocardiogram with definity contrast. There is an inferior wall aneurysm (red star). LA: Left atrium; LV: Left ventricle; RV: Right ventricle; RA: Right atrium.

Figure 2 Delayed enhancement cardiac magnetic resonance imaging illustrates a large mural thrombus measuring 3. 0 cm x 1.3 cm (red arrow) adherence to the basal inferior wall aneurysm (red star) as well as two apical thrombi (yellow arrow). A: 4-chamber of delayed enhancement cardiac magnetic resonance imaging (CMR) with long TI; B and C: 3-chamber of delayed enhancement CMR with long TI; D: 2-chamber of delayed enhancement CMR with standard TI; E: Short axis of delayed enhancement CMR with standard TI. LA: Left atrium; LV: Left ventricle; RV: Right ventricle; CMR: Cardiac magnetic resonance imaging.