HISTORY

• A 59 year old gentleman with no other history except lymphoma presented with stroke
• The baseline trans-thoracic echocardiogram was normal
• A Trans-oesophageal echocardiogram was performed.

TEE

Another loop

• The rest of the study was normal
• This shows a thrombus peeking into the left atrium from the right upper pulmonary vein
• Patient was treated with NOAC
• No further episodes of stroke occurred