case_images: PMC11759089_01
case_images: MRI of Lumbar spine with IV contrast showing a well-formed 1.5 x 0.9 x 2.2 cm anterior epidural abscess at the level of L3-L4 (white arrow).
case_images: jchim-15-01-066f1.jpg
case_images: PMC11759089_01_jchim-15-01-066f1.jpg
case_images: f1-jchim-15-01-066
case_images: An MRI lumbar spine with contrast demonstrated a 1.5 x 0.9 x 2.2 cm anterior epidural abscess at the level of L3-L4 with midline shift and severe L3-L5 spinal stenosis (Fig. 1).
case_images: Mid-esophageal view of the transesophageal echocardiogram that reveals mitral regurgitation (white arrow) and aortic regurgitation (green arrow).
case_images: jchim-15-01-066f2.jpg
case_images: PMC11759089_01_jchim-15-01-066f2.jpg
case_images: f2-jchim-15-01-066
case_images: Subsequently, a transesophageal echocardiogram (TEE) demonstrated vegetations on the aortic and mitral valves, severe trans-valvular aortic regurgitation, and moderate mitral regurgitation (Fig. 2).
case_images: Transesophageal echocardiogram revealing vegetation on aortic valve (white arrows). Image A represents the initial size of aortic valve vegetation, and image B reveals decrease in size of the vegetation (white arrows).
case_images: jchim-15-01-066f3.jpg
case_images: PMC11759089_01_jchim-15-01-066f3.jpg
case_images: f3-jchim-15-01-066
case_images: TEE revealed the aortic and mitral valve vegetations had decreased in size (Fig. 3). The patient was planned for follow-up TTE in 3-6 months.