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Abstract

Case Presentation

A 62 year old Caucasian man with a past medical history significant for (long standing and controlled) HTN, lymphoma (diagnosed 2 yrs ago and currently in remission), and diffuse esophageal spasm presented to an outside hospital with expressive aphasia and right sided weakness. He was treated with tissue plasminogen activator (t-PA) for left MCA embolic stroke with excellent clinical response with very minimal residual expressive aphasia. Further work up and evaluation there revealed a large left ventricular apical mass consistent with thrombus and he was subsequently transferred to our facility for further evaluation and management of this apical mass.

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