Fig. 8From: Pearls and pitfalls in comprehensive critical care echocardiographyImaging the apex: off-axis imaging. Standard apical views can miss an anteriorly placed thrombus. If there is a degree of suspicion (e.g. akinetic apical segments), off-axis imaging (i.e. tilting imaging plane or imaging more medially) can be used to identify an apical thrombus (indicated by arrows)Back to article page