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Transthoracic echocardiogram without contrast. (A) Zoomed apical four-chamber view demonstrating the LV apical mass with dimensions of 5 × 2.2 cm. (B) Apical four-chamber view demonstrating a hyperechoic, mobile, and pedunculated LV apical mass with margins distinct from the endocardial edge and defined contours consistent with thrombus. (C) Left parasternal long-axis view demonstrating the LV apical mass extending into the midcavity.
