 The patient had a transthoracic echocardiogram as an outpatient, which was equivocal, but a transesophageal echocardiogram here in the hospital was normal with no evidence of vegetations. 
The patient had a transthoracic echocardiogram as an outpatient , which was equivocal , but a transesophageal echocardiogram here in the hospital was normal with no evidence of vegetations .