Figure 1.

Serial echocardiograms. This is a chronological reporting of the available echocardiograms between July 2017 and May 2019. Given that the patient presented to multiple hospitals and providers with different electronic medical records, not all the images were available to be reviewed. Locations at which reviewed echocardiograms were performed included Thomas Jefferson University Hospital (TJUH), local outside hospitals (OSH), and a private cardiologist's office. For each echocardiogram, when available, both the images and reports were reviewed. This figure highlights the multiple variants of TCM that are explored in this report.