Differential Diagnosis of LV Mass 1--Thrombus (most common) Cause: Usually after myocardial infarction (especially anterior/apical), in LV aneurysm, or in severe LV systolic dysfunction. Echocardiographic features: Located near apex or akinetic area. Often sessile or laminated (organized) or mobile and protruding (acute/fresh). Avascular (no flow on contrast echo). Echodensity similar or slightly less than myocardium. Key clue: Underlying regional wall motion abnormality. --- 2--Cardiac Tumors a
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