case_images: PMC7168754_01
case_images: Simple chest XR.
case_images: CRIID2020-1453126.001.jpg
case_images: PMC7168754_01_CRIID2020-1453126.001.jpg
case_images: fig1
case_images: CT scan of the chest without contrast.
case_images: CRIID2020-1453126.002.jpg
case_images: PMC7168754_01_CRIID2020-1453126.002.jpg
case_images: fig2
case_images: Computed tomography (CT) scan (Figure 2) angiogram of the chest was performed, and it showed patchy lung infiltration in both sides compatible with pneumonia.
case_images: TEE showed large vegetation (blue arrow) over the pulmonic valve.
case_images: CRIID2020-1453126.003.jpg
case_images: PMC7168754_01_CRIID2020-1453126.003.jpg
case_images: fig3
case_images: At this time, a large mass compatible with vegetation was seen over the pulmonic valve measured ~1.9 x 0.9  cm (Figure 3).
case_images: (a) Image from the surgical field showing large vegetations (black arrows) over the valve prior to the resection. (b) Image from surgical field after pulmonic valve resection along with all the vegetations.
case_images: CRIID2020-1453126.004.jpg
case_images: PMC7168754_01_CRIID2020-1453126.004.jpg
case_images: fig4
case_images: CXR after completion of the therapy with IV vancomycin.
case_images: CRIID2020-1453126.005.jpg
case_images: PMC7168754_01_CRIID2020-1453126.005.jpg
case_images: fig5
case_images: Repeated CXR after completion of the course of therapy showed total resolution of all lung nodules (Figure 5).