EURORAD ESR

Case 15368

Left Ventricular Thrombus occured shortly after cocaine consumption complicated by Acute Stroke

Author(s)
Dr Abdalazeem Ibrahem, Dr Amjed Eljaili

Ysbyty Gwynedd , Betsi Cadwaladr university Health Board
 
Patient
male, 32 year(s)
 
 
  • Figure 1
    MRI Brain

    Showing increased signal in parieto-occipital cortex with corresponding low ADC map indicating restriction of diffusion (white arrow) consistent with an acute infarct in the left occipital lobe.

     
    Area of Interest: Head and neck; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 2
    Echocardiogrophy

    ECHO showed pedunculated mobile thrombus present at the apex of left ventricle (white arrow) measuring 36x12 mm.

     
    Area of Interest: Cardiac; Imaging Technique: Echocardiography; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
Showing increased signal in parieto-occipital cortex with corresponding low ADC map indicating restriction of diffusion (white arrow) consistent with an acute infarct in the left occipital lobe.
 
ECHO showed pedunculated mobile thrombus present at the apex of left ventricle (white arrow) measuring 36x12 mm.
 
 
 
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