case_images: PMC5949188_01
case_images: Echocardiogram: an apical four-chamber view showing a 2.2 x 1.4 cm left ventricular thrombus.
case_images: CRIC2018-8767801.001.jpg
case_images: PMC5949188_01_CRIC2018-8767801.001.jpg
case_images: fig1
case_images: The echocardiogram revealed severe global hypokinesis with left ventricular ejection fraction (LVEF) of 15-20%, apical akinesis with an organized 2.2 x 1.4 cm fixed thrombus (Figure 1), and a right ventricular systolic pressure estimated at 55 mmHg.
case_images: Abdomen/pelvic CT with contrast, coronal, and axial views showing the 4 x 3 cm left pheochromocytoma.
case_images: CRIC2018-8767801.002.jpg
case_images: PMC5949188_01_CRIC2018-8767801.002.jpg
case_images: fig2
case_images: An abdominal and pelvic CT with contrast was ordered due to gastrointestinal symptoms, and unexpectedly, it showed a 4 x 3 cm enhancing mass on the left adrenal gland (Figure 2).
case_images: (a) CMRI showing the resolution of the left ventricular thrombus and an incidental pericardial cyst (asterisk). (b) CMRI showing slight delayed gadolinium enhancement with a left midventricular, midmyocardial septal stripe (superior arrow) and also an inferior right midventricular insertion delayed gadolinium enhancement (inferior arrow).
case_images: CRIC2018-8767801.003.jpg
case_images: PMC5949188_01_CRIC2018-8767801.003.jpg
case_images: fig3
case_images: Subsequently, a cardiac magnetic resonance imaging (CMRI) performed two weeks after discharge showed moderate dilation of the left ventricle with a LVEF of 23%, diffuse hypokinesis, resolution of the intracavitary left ventricular thrombus, and a midventricular, midmyocardial linear stripe and inferior right midventricular insertion enhancement on the delayed gadolinium enhancement (DGE) (Figures 3(a) and 3(b)).