Figure 1. Apical Thrombus by Anatomic and Tissue Characterization Imaging.
(1A) Representative example of apical thrombus (circle) concordantly detected by anatomic imaging (left, contrast echo 4-chamber, cine-CMR 2-chamber) and DE-CMR (center). (1B) Representative example of discordance between anatomic imaging and DE-CMR. DE-CMR identified a small mural thrombus (circle) within the apex. Cine-CMR and contrast echo were interpreted as negative.
For both examples, surgical resection enabled thrombus verification based on histopathology (right, H&E stain, low power), which demonstrated thrombus with associated fibroblasts (asterisk).