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Four-chamber late gadolinium enhancement image showing a full thickness infarct involving the distal septal left ventricular wall and apex. An intracavitary left ventricular thrombus (white arrow) is seen abutting the distal septal left ventricle wall. Note how the low signal thrombus lies against the myocardial wall unlike microvascular obstruction, where the low signal is seen within the myocardium.
