Mitral Valve Vegetations in Endocarditis - POCUS Echocardiogram Apical 4-chamber view, a mobile echogenic mass is seen attached to the mitral valve flopping in & out of the LA POCUS is very specific for endocarditis, but sensitivity depends on size of the vegetation. TTE is 84% sensitive for vegetations > 10mm. Dr. Meghan Herbst @EUSmkh #Mitral #Valve #Vegetations #Endocarditis #POCUS #Echocardiogram #clinical #cardiology #a4c