High Velocity in the Left Upper Pulmonary Vein

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TEEintraoppreopME4CV2D
Short case presentation
61 yo female with a CXR showing a left hilar fullness.

Please review the video loops and consider the following questions:

What is your assessment of the peri-left atrial area?
Why is the pulmonary vein CFD showing turbulence?
What is your differential diagnosis?
What other cardiac signs could you look for to confirm your diagnosis?