This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
Infective endocarditis can manifest as all except - 
Select and explain. 
A. Bulky friable vegetations, B. Myocardial abscess, C. Left atrial thrombus, D. Septal perforation
C: Left atrial thrombus
Answer: C: Left atrial thrombus 
Explanation: Infected thrombi* or vegetations* are the characteristic pathological features of infective endocarditis.
Vegetations are found along the valve cusps.
They art friable*, bulky* and potentially destructive*.
Sometimes they erode into the underlying myocardium to produce an abscess cavity (ring abscess)*.
Major cardiac complications in infective endocarditis ;
Valvular damage causing insufficiency or stenosis*
Myocardial ring abscess*.
Perforation of aorta, interventricular septum or free wall or invasion of the conduction system*.
Suppurative pericarditis*.
Endocarditis can also complicate artificial valve, causing their partial dehiscence with para valvular leak*