Fig. 5
Female child (12 years of age) with endocardial fibroelastosis for 11 years, diagnosed with cerebral, renal, and lower extremity arterial embolism (TTE and CEUS showing three thrombus of left ventricular cavity, all resolved after thrombolytic therapy). a TTE of two solid, quasi-circular thrombi of left ventricle (thrombus 1, blue arrow; thrombus 2, red arrow). b TTE of one solid, irregular thrombus at apex of left ventricle (thrombus 3, yellow arrow). c CEUS showing voluminous contrast entering thrombus 1 (blue arrow) and thrombus 2 (red arrow), inconsistent with standard 2-dimensional morphology (no substrate for either, CEUS score [Ts + Th] of 4 + 4). d CEUS showing voluminous contrast around thrombus 3 (yellow arrow), wide gap filled with contrast across most of base (CEUS score of 3 + 4)