case_images: PMC11808285_01
case_images: Head MRI T2-weighted image.. A novel cerebral infarction was identified in the right cerebellum (arrow).
case_images: cureus-0017-00000077202-i01.jpg
case_images: PMC11808285_01_cureus-0017-00000077202-i01.jpg
case_images: FIG1
case_images: Imaging studies revealed a new cerebral infarction and a renal infarction, as shown in Figures 1, 2.
case_images: Contrast-enhanced abdominal CT image. A small infarction was observed in the right kidney (arrow).
case_images: cureus-0017-00000077202-i02.jpg
case_images: PMC11808285_01_cureus-0017-00000077202-i02.jpg
case_images: FIG2
case_images: Imaging studies revealed a new cerebral infarction and a renal infarction, as shown in Figures 1, 2.
case_images: Transesophageal echocardiography image with the mid-esophageal aortic valve long axis view. A pedunculated, oval-shaped, isoechoic, and mobile mass at the non-coronary cusp of the aortic valve was revealed (arrow).
case_images: cureus-0017-00000077202-i03.jpg
case_images: PMC11808285_01_cureus-0017-00000077202-i03.jpg
case_images: FIG3
case_images: TEE revealed a pedunculated, oval-shaped, isoechoic mass measuring approximately 4x6 mm at the non-coronary cusp of the aortic valve, as shown in Figure 3. The mass had frayed edges and was mobile, suggesting a papillary fibroelastoma.
case_images: Contrast-enhanced pelvic CT image.. A solid tumor, approximately 45 mm in size was observed in the left ovary (arrow).
case_images: cureus-0017-00000077202-i04.jpg
case_images: PMC11808285_01_cureus-0017-00000077202-i04.jpg
case_images: FIG4
case_images: As for other preoperative findings, contrast-enhanced CT of the pelvis revealed a solid tumor, approximately 45 mm in size, in the left ovary, as shown in Figure 4.
case_images: TTE image with parasternal long-axis view. A new 9-mm mobile mass on the left coronary cusp of the aortic valve was revealed, suggesting a completely different lesion (arrow).. TTE: transesophageal echocardiography.
case_images: cureus-0017-00000077202-i05.jpg
case_images: PMC11808285_01_cureus-0017-00000077202-i05.jpg
case_images: FIG5
case_images: At this time, TTE and TEE revealed a new 9-mm mobile mass on the left coronary cusp of the aortic valve, as shown in Figure 5, suggesting a completely different lesion.
case_images: Pelvic positron emission-CT imaging. Uptake in the solid component of the left ovarian tumor was observed (arrow).
case_images: cureus-0017-00000077202-i06.jpg
case_images: PMC11808285_01_cureus-0017-00000077202-i06.jpg
case_images: FIG6
case_images: During the detailed examination, it was observed that the ovarian tumor, previously considered benign, had shown a tendency to enlarge, with accumulation noted on positron emission tomography-CT (PET-CT), as shown in Figure 6.
case_images: The clinical course of this case.
case_images: cureus-0017-00000077202-i07.jpg
case_images: PMC11808285_01_cureus-0017-00000077202-i07.jpg
case_images: FIG7