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Albumin, calcium, sodium, magnesium, bicarbonate, and chloride scored 3; CRP scored 6 for all. In Laboratories A, B, C, and D, 7 (27%), 7 (27%), 6 (23%), and 8 (31%) analytes, respectively, required only 1 IQC rule. One of 21 analytes for Laboratories C and D, 3 for Laboratory A, and 0 for Laboratory B had the same sigma score with all 3 databases. Despite South Africa being a developing nation, many analytes are able to achieve 3 sigma. 3 sigma.Cardiac valve fibrolipomas are extremely rare. We report a case of a