case_images: PMC10855642_01
case_images: Chest x-ray showing cardiomegaly
case_images: cureus-0016-00000052030-i01.jpg
case_images: PMC10855642_01_cureus-0016-00000052030-i01.jpg
case_images: FIG1
case_images: Chest x-ray showed cardiomegaly unchanged from previous imaging (Figure 1).
case_images: Shoulder x-ray showing a possible small effusion
case_images: cureus-0016-00000052030-i02.jpg
case_images: PMC10855642_01_cureus-0016-00000052030-i02.jpg
case_images: FIG2
case_images: A left shoulder x-ray showed a possible small effusion (Figure 2).
case_images: Transesophageal echocardiogram showing a large mobile vegetation (1.3 cm) on the anterior leaflet of the mitral valve
case_images: cureus-0016-00000052030-i03.jpg
case_images: PMC10855642_01_cureus-0016-00000052030-i03.jpg
case_images: FIG3
case_images: Transesophageal echocardiogram (TEE) showed large mobile vegetation on the anterior leaflet of the mitral valve of 1.3 cm (Figure 3).
case_images: Brain MRI showing multiple infarcts throughout the cerebral hemispheres suggestive of septic emboli
case_images: cureus-0016-00000052030-i04.jpg
case_images: PMC10855642_01_cureus-0016-00000052030-i04.jpg
case_images: FIG4
case_images: Given the patient's new encephalopathy in setting off endocarditis, a brain MRI was performed showing septic emboli with acute infarcts throughout the cerebral and cerebellar hemispheres (Figure 4).
case_images: Transesophageal echocardiogram showing enlargement of the vegetation (2.1 cm) on the anterior leaflet of the mitral valve
case_images: cureus-0016-00000052030-i05.jpg
case_images: PMC10855642_01_cureus-0016-00000052030-i05.jpg
case_images: FIG5
case_images: TEE was repeated showing enlargement of vegetation to 2.1 cm (Figure 5).