A right ventricular thrombus (RVT) is an unusual finding on echocardiography. We describe a healthy young male patient who developed RVT with subsequent pulmonary embolism (PE), the etiology of which remains uncertain.

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A 44-year-old African-American female with a 4-year history of end-stage renal disease, on hemodialysis (HD), presented with fever and lethargy. She had multiple prior hospital admissions for recurrent HD catheter and arteriovenous graft infections caused primarily by methicillin-resistant Staphylococcus au-