Image of the week - 26 February 2025

A patient in her late 50s was admitted with sepsis and flank pain. She was found to have a psoas abscess, which has been drained. A transoesophageal echocardiogram was performed. What is your diagnosis?

Fibroelastoma of the mitral valve

Vegetations over the posterior mitral leaflet with possible perforation

Vegetations over the anterior mitral leaflet with possible perforation

Vegetations over the posterior leaflet with no regurgitation

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