case_images: PMC10765276_01
case_images: Transthoracic ultrasound, 4-chamber view, during the first and second hospitalizations (A and B, respectively). A hyperechoic cardiac mass on the mitral annulus is demonstrated in both studies (yellow solid arrows), with a clearing in the interior part of the mass, and an appearance of small mobile vegetation (blue dotted arrow), in the latter.
case_images: luad169f1.jpg
case_images: PMC10765276_01_luad169f1.jpg
case_images: luad169-F1
case_images: This finding was further characterized by echocardiography, which demonstrated a caseous formation involving the posterior commissure of the mitral valve (Fig. 1A).