What is this?


  • 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.


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