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  Indian J Med Microbiol
 

Figure 14: A 23-year-old lady presented with first-ever ischemic stroke. The antiphospholipid antibody was elevated. Echocardiography showed a 10 mm mass lesion attached to the mitral valve. Blood cultures were negative. (a) 4C cine image shows low-intensity mobile lesion on the atrial aspect of the mitral valve. The lesion does not involve free margin or annulus. (b) 4C LGE image shows mild contrast enhancement. Final diagnosis: Primary antiphospholipid antibody syndrome with sterile vegetation (Libman-Sacks endocarditis). 4C: Four-chamber, LGE: Late gadolinium enhancement

Figure 14: A 23-year-old lady presented with first-ever ischemic stroke. The antiphospholipid antibody was elevated. Echocardiography showed a 10 mm mass lesion attached to the mitral valve. Blood cultures were negative. (a) 4C cine image shows low-intensity mobile lesion on the atrial aspect of the mitral valve. The lesion does not involve free margin or annulus. (b) 4C LGE image shows mild contrast enhancement. Final diagnosis: Primary antiphospholipid antibody syndrome with sterile vegetation (Libman-Sacks endocarditis). 4C: Four-chamber, LGE: Late gadolinium enhancement