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Mitral annular calcification

Mitral annular calcification
The apical four chamber view shows a marked degree of dense echoes at the mitral annulus, a result of mitral annular calcification (MAC). The mitral valve is not easily seen because it is obscured by the highly reflective MAC.
L: left ventricle; RV: right ventricle; LA: left atrium; RA: right atrium.
Graphic 61639 Version 2.0