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clinical case 2; A) chest X-ray showed a bilateral diffuse alveolar syndrome and cardiomegaly; B) thoracic CT scan a cardiomegaly with the presence of peripheral, central and bilateral ground glass lesion; C) transthoracic echocardiogram: parasternal long axe view showing a vegetation in the aortic and mitral valve (arrows); D) Doppler signal showing mitral regurgitation
