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Legend. Cardiac MRI in oblique axial (left) and coronal (middle) plane, shows a large right pulmonary artery (PA) with large thrombus (red arrow). Similarly, CT pulmonary angiogram (right) shows extensive calcification of the left and right PA (yellow arrows) with circumferential thrombi (red arrows). Pulmonary thrombus in adults with Eisenmenger syndrome is common and relates to biventricular dysfunction. See pages 639 and 640.