RA thrombus example

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It is very exceptional to visualize a thrombus in the right cavities, even in patients with demonstrated pulmonary embolism.

The thrombus will appear as an echoic mobile structure in the right atrium and/or in the right ventricle, often in a low-flow state with spontaneous contrast.


Parasternal long axis, right chambers view. The thrombus is mainly located in the right atrium, prolapsing through the tricuspid valve in diastole:

 


Apical 4 chamber view. The right chambers are dilated and hypokinetic, there is a lot of spontaneous contrast (smoke). The thrombus is mainly in the right atrium, prolapsing through the tricuspid valve into the right ventricle.


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