Intracardiac thrombi - left ventricle and atrium
Patient was referred to CT scan for exclusion of pulmonary embolism.
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No pulmonary artery embolism noted.
Bilateral pleural effusion noted (left>right), 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.