case_images: PMC7338968_01
case_images: A CT scan of the abdomen: yellow arrow - right renal infarction; red arrow - splenic infarction.
case_images: CRIONM2020-9654048.001.jpg
case_images: PMC7338968_01_CRIONM2020-9654048.001.jpg
case_images: fig1
case_images: A computed tomography (CT) was done to rule out an acute intra-abdominal pathology; however, it revealed areas of infarctions in the right kidney and spleen (Figure 1).
case_images: An electrocardiogram: left axis deviation, ST segment elevation in V2 to V5, and Q waves in inferior leads.
case_images: CRIONM2020-9654048.002.jpg
case_images: PMC7338968_01_CRIONM2020-9654048.002.jpg
case_images: fig2
case_images: An electrocardiogram (EKG) demonstrated left axis deviation, ST-segment elevation in V2 to V5, and Q waves in inferior leads signifying a recent inferior-apical infarct (Figure 2).
case_images: An echocardiogram: blue arrow - a mass suggestive of a thrombus.
case_images: CRIONM2020-9654048.003.jpg
case_images: PMC7338968_01_CRIONM2020-9654048.003.jpg
case_images: fig3
case_images: An echocardiogram done on day 1 demonstrated an estimated left ventricular ejection fraction of 60-65% and severe apical hypokinesis with a 1.8 x 1.0 cm mass suggestive of a thrombus (Figure 3).
case_images: A CT head without contrast (during initial hospitalization): green arrow - a subacute right occipital infarct.
case_images: CRIONM2020-9654048.004.jpg
case_images: PMC7338968_01_CRIONM2020-9654048.004.jpg
case_images: fig4
case_images: The patient was clinically stable until before a planned discharge when he developed numbness in the left face prompting a CT head to be done, which showed a subacute right occipital infarct (Figure 4).
case_images: A CT head without contrast (two days after discharge): yellow arrow - a hemorrhagic right occipital infarct.
case_images: CRIONM2020-9654048.005.jpg
case_images: PMC7338968_01_CRIONM2020-9654048.005.jpg
case_images: fig5
case_images: A CT scan of the head done showed hemorrhage in the right occipital lobe with surrounding vasogenic edema, consistent with a hemorrhagic infarct as well as a mass effect on the right occipital horn (Figure 5).