When two or more contiguous segments are not seen : Case 2

2D echocardiogram

Due to suboptimal image quality, 1 ml SonoVue bolus was given

Contrast echocardiogram

There was no suspicion of a thrombus in the grey scale images in this particular case, contrast was thus given only for LVO and the thrombus was in fact a random finding.
The case illustrates a possibility of an additional value from contrast echo that cannot always be predicted.