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A 59-year-old female presenting with confusion, short-term memory impairment and drowsiness was subsequently found on MRI to have innumerable small acute ischaemic foci involving both cerebellar hemispheres and thalamus. Two-dimensional transoesophageal echocardiography (2D TOE) revealed a tortoise-shaped, mobile left atrial mass arising from the superior atrial wall (figure 1A, white arrow). Real-time three-dimensional …
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