Intracardiac thrombi (left ventricle and left atrium)
Patient was referred to CT scan for exclusion of pulmonary embolism.
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C+ arterial phase
While no pulmonary artery embolism was found, you can see pleural effussions which may explain the patient's dyspnea. Furthermore, there is a thrombus in the left atrium and one in the apex of the left ventricle.
Cardiac thrombi are seen in a variety of clinical settings and can result in severe morbidity or even death from embolic events. It can occur following myocardial infarction with ventricular thrombus formation, or with atrial fibrillation and mitral stenosis where atrial thrombi predominate.