case_images: PMC10878763_01
case_images: Coronal CT chest with contrast showing bilateral loculated pleural effusions (arrows) and left hydropneumothorax (arrowhead) secondary to septic pulmonary emboli.
case_images: cureus-0016-00000052680-i01.jpg
case_images: PMC10878763_01_cureus-0016-00000052680-i01.jpg
case_images: FIG1
case_images: Coronal CT abdomen and pelvis with contrast showing septic emboli (arrowhead) and hydropneumothorax (arrow) consistent with empyema (measured 89.1 mm) in the left lower lung lobe.
case_images: cureus-0016-00000052680-i02.jpg
case_images: PMC10878763_01_cureus-0016-00000052680-i02.jpg
case_images: FIG2
case_images: Axial CT chest with contrast showing pericardial effusion (arrows).
case_images: cureus-0016-00000052680-i03.jpg
case_images: PMC10878763_01_cureus-0016-00000052680-i03.jpg
case_images: FIG3
case_images: This contributed to the development of congestive hepatosplenomegaly (Figure 3).
case_images: TTE showing torrential tricuspid regurgitation (colored), right atrial and ventricular dilation (arrows), and flattening of the intraventricular septum (arrowhead).. TEE, transesophageal echocardiogram
case_images: cureus-0016-00000052680-i04.jpg
case_images: PMC10878763_01_cureus-0016-00000052680-i04.jpg
case_images: FIG4
case_images: TEE showing a flail, anterior tricuspid valve leaflet with attached septic vegetation (13.0 mm measured structure).. TEE, transesophageal echocardiogram
case_images: cureus-0016-00000052680-i05.jpg
case_images: PMC10878763_01_cureus-0016-00000052680-i05.jpg
case_images: FIG5