Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram (1) Thickened and fibrosed MV leaflets - rheumatic etiology - with severe MS. (2) Lvef 25-30%. (3) RV dysfunction also present. (4) All 4 cardiac chambers dilated. (5) Layered clot seen in LA by the LAA appears clean. (6) spontaneous echo contrast. (7) patient in atrial fibrillation :)) this patient should also be having a significant TR with severe PAH and clinically be in CHF @echocardiography_tips #Rheumatic #Mitral #Stenosis #Echocardiogram #clinical #cardiology #a4c #thrombus
