Smoke-like echo

Take a look at this echocardiogram, which was obtained 4 days after the onset of acute anterior myocardial infarction in a middle-aged guy.

It is notable that smoke-like echo or spontaneous echo contrast is seen in the left ventricle, although the patient underwent emergency intervention with stent implantation and his clinical course has been uneventful.

Since this finding is associated with an increased risk of developing thrombus, the administration of anticoagulants should be considered as soon as possible.

Actually, in this patient, an apical thrombus is detected although it might be obscure in this movie. Follow-up echocardiographic examination showed a decrease in size of the thrombus with heparin treatment.

Sprit picture

Take a look at the picture on the left side.

This is a photo that I took on the way to my office early in the morning, around at 6 am, last week. Do not ask me why I did shoot such a weird scene.

I did not notice but my daughter found something creepy, as shown in a black arrow. She said in an eerie way, "There is a girl!" I can assure you that none existed at that time on this point.

That night, I had an emergency call from my hospital. I had to head to the hospital at midnight because a bad event occurred － I cannot write it in details because of concerns about personal information.

On the way home after I finished my work, I asked a taxi driver to take me to the place that I took the above shot. It was dark but clear enough to recognize that "the ghost girl", named by my daughter, was the combination of a yellow flowerpot and a white garbage plastic bag with something inside.

After all, this picture is not a ghost shot but remains weird to me, given the association of the terrible event in my hospital. I would recall the night's event every time I see this photo.