It is great to achieve the best result of treatment with minimum cost and risk. This is such story. Watch the video:
Initially, the central question was about the origin of the "worm". Thrombus of vegetation due to IE?
After all, I think that this patient with atrial fibrillation has right atrium thrombosis with subsequent PE and pulmonary infarction.
P.S. After ten days of enoxaparin rivaroxaban was prescribed.