Fig. 5.

Intracardiac thrombi with noncardiac disorders.

Non small cell lung cancer: (A) 2D TEE, a large thrombus in the right atrium with lytic areas; (B) 2D TEE, thrombus extending from vena cava superior through the right atrial cavity; renal cell carcinoma: (C) CT, thrombus almost completely filling the left atrium; endometrial cancer: (D) CMR, a thrombus extending from vena cava inferior through the right atrium; esophageal cancer: (E) 2D TTE, and (F) CMR, a thrombus filling the right ventricular cavity and extending through the mid ventricular level; ovarian cancer: (G) 2D TEE, and (F) CMR, left atrial thrombus with hypoechoic regions; Behçet's disease: (I) 2D TTE, a massive, lobulated, mobile left ventricular thrombus; (J) CMR, an immobile thrombus infiltrating the right atrial side of the tricuspid valve and endocardial fibroelastosis at the right ventricular wall; rheumatoid arthritis: (K) 2D TTE, right atrial immobile thrombus; systemic lupus erythematosus with antiphospholipid syndrome: (L) 2D TTE, right atrial immobile thrombus; chronic kidney disease, hemodialysis: (M) 2D TEE, right atrial giant, ball shaped thrombus, moderate pericardial effusion; (N) surgical image (O) thrombus histology with organized fibrin mass, hematoxylin-eosin × 200.

2D TTE: two-dimensional transthoracic echocardiography; 2D TEE: two-dimensional transesophageal echocardiography; CMR: cardiac magnetic resonance imaging.