Differential Diagnosis of LV Mass 1--Thrombus (most common) Cause: Usually after myocardial infarction (especially anterior/apical), in LV aneurysm, or in severe LV systolic dysfunction. Echocardiographic features: Located near apex or akinetic area. Often sessile or laminated (organized) or mobile and protruding (acute/fresh). Avascular (no flow on contrast echo). Echodensity similar or slightly less than myocardium. Key clue: Underlying regional wall motion abnormality. --- 2--Cardiac Tumors a

🎥 ANEURYSMAL LV APEX – ECHOCARDIOGRAPHY CASE 🫀 Description: An aneurysmal LV apex appears as a thin-walled, dyskinetic outpouching of the left ventricular apex, often following a transmural anterior wall myocardial infarction (LAD territory). It shows paradoxical systolic expansion and may contain thrombus within the cavity. 📍 Key Echo Findings: Localized outpouching at LV apex Thin, scarred wall with poor contractility Dyskinetic or akinetic movement on systole Thrombus formation may be seen