Fig. 1
Image examination of the patient. a The chest X-ray plain film showed cardiac image enlargement in left atrium, right ventricle and left ventricle, together with bilateral pulmonary congestion. b Echocardiography examination showed mitral valve prolapse and multiple vegetations (the largest one was about 14 mm, arrow). c Computerized tomography scan of the brain showed mild ischemia at bilateral basal ganglia. d Computerized tomography scan of the brain showed massive intracerebral hemorrhage in the right frontal–temporal lobe and lateral ventricle