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Migrated Varicocele Coil Embolization on Echocardiogram (a4c) What is this echogenic structure in the RV? Hint: the patient is 29 yrs old male with atypical left sided chest pain and cold fingers and hands The answer : this is a migrated varicocele coil described by Dr. Nina Karia The coil was surg removed and tricuspid was repaired with commisural stitch - https://casereports.onlinejacc.org/ Dr. Julia Grapsa @JGrapsa #Migrated #Varicocele #Coil #Embolization #Echocardiogram #a4c #pocus #clinical #tricuspid #foreignbody