Image of the week- 22 July 2026

A 72-year-old man with ischaemic hypokinetic cardiomyopathy and severe left ventricular systolic dysfunction presented with chronic dyspnoea. He was admitted for sustained ventricular tachycardia, which was successfully terminated. What is the most likely diagnosis?

Cardiac tumour

Giant thrombosed left ventricular aneurysm

Loculated pericardial effusion

Dilated cardiomyopathy with apical thrombus

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