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Transthoracic echocardiogram (TTE) is inferior to cardiac magnetic resonance (CMR) imaging for detecting small, laminar LV mural thrombus. In fact, the sensitivity of TTE is only 29%, while the specificity is 98% as compared to CMR. CMR is the optimal imaging modality for diagnosis of LV thrombus.The left ventricle is divided into 17 segments for 2D echocardiography. One can identify these segments in multiple views. The basal part is divided into six segments of 60° each. The segments along the circumference are basal anterior , basal anteroseptal , basal inferoseptal , basal inferior , basal inferolateral, and basal anterolateral.
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LV wall has been divided into 17 segments for the ease of the assessment of regional function. Apical segment, also called apical cap, is the only segment without a direct relation to the LV cavity. These segments correspond to the three main branches of coronary blood supply as well.
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