Figure 1: (a) Transthoracic echocardiographic apical four-chamber view shows a thrombus in the apex of the left ventricle. (b) Four-chamber-view MR image obtained with fast imaging steady-state free precession sequence shows pedunculated thrombus (arrow) attached to left ventricular apex with a thin stalk (cine images showed mobility of the thrombus throughout the cardiac cycle). (c) Pulmonary CT angiography shows acute embolus as a filling defect in the left lower lobe artery (arrow). Note the associated left pleural effusion (PE). (d) Lung window setting shows bilateral lower lobe infarcts, more prominent in the left lung.