case_images: PMC11826101_01
case_images: CT scan demonstrating bilateral pleural effusions taken upon admission. Arrow 1 demonstrates a pleural effusion on the patient's right side and arrow 2 demonstrates a pleural effusion on the patient's left side. CT: computed tomography
case_images: cureus-0017-00000077443-i01.jpg
case_images: PMC11826101_01_cureus-0017-00000077443-i01.jpg
case_images: FIG1
case_images: Additionally, a chest computed tomography (CT) angiogram revealed bilateral pleural effusions, pneumonia of the left lower lobe, as well as an infiltrate in the right middle lobe (see Figures 1-3).
case_images: CT angiogram of chest with the right middle lobe infiltrate. Arrow 1 demonstrates a right-sided pleural effusion, arrow 2 demonstrates a left-sided pleural effusion, and arrow 3 demonstrates a right middle lobe infiltrate. CT: computed tomography
case_images: cureus-0017-00000077443-i02.jpg
case_images: PMC11826101_01_cureus-0017-00000077443-i02.jpg
case_images: FIG2
case_images: Additionally, a chest computed tomography (CT) angiogram revealed bilateral pleural effusions, pneumonia of the left lower lobe, as well as an infiltrate in the right middle lobe (see Figures 1-3).
case_images: Chest X-ray taken on admission . Arrow indicates the finding suggestive of right middle lobe consolidation
case_images: cureus-0017-00000077443-i03.jpg
case_images: PMC11826101_01_cureus-0017-00000077443-i03.jpg
case_images: FIG3
case_images: Additionally, a chest computed tomography (CT) angiogram revealed bilateral pleural effusions, pneumonia of the left lower lobe, as well as an infiltrate in the right middle lobe (see Figures 1-3).
case_images: Septic thrombophlebitis in the internal jugular vein extending into the SVC (arrow). SVC: superior vena cava
case_images: cureus-0017-00000077443-i04.jpg
case_images: PMC11826101_01_cureus-0017-00000077443-i04.jpg
case_images: FIG4
case_images: CT and the CT angiogram obtained upon her admission, a thrombus was found involving the left internal jugular vein, subclavian vein, and brachiocephalic vein, extending into the superior vena cava (Figure 4). Consequently, she was started on a heparin drip and her antibiotic regimen was broadened to include ertapenem per the recommendations of the infectious disease team.