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. 2020 Dec;8(23):1621. doi: 10.21037/atm-20-4555

Table 3. Differentiating vegetations from other masses.

Vegetation Other Masses
Attached to valve, upstream side Attached to valve downstream side
Mobile, oscillating Nonmobile
Irregular shape Smooth surface o fibrillar
Low reflectance High echogenicity
Associated valvular regurgitation o perivalvular lesions Absence of valvular involvement
High risk of embolization (if size >1 cm)