Figure 1.

(a). ME 4C view (live 3D image) showing a large vegetation (pink arrow) involving the tricuspid valve. It was impossible to tell correctly from this view alone, from which leaflet the vegetation originated, and whether the vegetation involved one or more leaflets. (b). ME RV inflow outflow view showing the vegetation (pink arrow) attached to the tricuspid valve. Even from this view, like it was using the ME 4C view, exact site of attachment of the vegetation to one or more the leaflets could not be told surely