case_images: PMC2946615_01
case_images: This is a transthoracic echocardiogram. White arrows point to the 2.6 x 1.7 cm pedunculated vegetation.
case_images: CRM2010-982521.001.jpg
case_images: PMC2946615_01_CRM2010-982521.001.jpg
case_images: fig1
case_images: Trans-thoracic echocardiogram (Figure 1) showed a 2.2 x 1.6 cm pedunculated vegetation, noted on the base of the posterior cusp of the tricuspid valve with moderate tricuspid regurgitation.
case_images: White shows cavitary and non-cavitary small nodular lesions changes consistent with pulmonary septic embolization and the black arrow shows a small left pleural effusion. Black and white arrow is showed a complicated ligulae pneumonia.
case_images: CRM2010-982521.002.jpg
case_images: PMC2946615_01_CRM2010-982521.002.jpg
case_images: fig2
case_images: Given the fact that the patient had valvular vegetations, a CT scan (Figure 2) was done to rule out pulmonary septic embolism.