Unusual pericardial effusion on Echocardiogram

This loculated pericardial effusion is causing a unusual localized compression on the LV. Also a mass like structure is seen within the effusion. A large pleural effusion is also seen (largest area of black)

Ruptured Papillary Muscle on Echocardiogram

Ruptured papillary muscle and severe MR. Can see area where papillary muscle was attached.

Dissection of Ascending Aorta on Echocardiogram

3D LV SAX

R/O Thrombus