Image of the week - 3 December 2025

What is the diagnosis for this patient with stroke and heart block?

Rheumatic mitral valve disease with mitral annular calcification

Mitral valve endocarditis with perivalvular extension into the inter-valvular fibrosa and inter-atrial septum

Left atrial thrombus with lipomatous hypertrophy of inter-atrial septum

Mitral valve papillary fibroelastoma

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