Septic pulmonary emboli

Case contributed by Ali Abougazia
Diagnosis probable


IV drug user. Now complaining of fever, productive cough and chest pain.

Patient Data

Age: 35 years
Gender: Male

CT Chest


Both lungs are studded with numerous variable sized cavitating nodules that appear to colese in both lower lobes.

Bilateral minimal pleural effusion.


A mass is seen attached to lateral leaflet of tricuspid valve measuring about 13 mm X 25 mm on echocardiography.

Case Discussion

Bilateral pulmonary cavitating nodules. In light of the patient’s history and echocardiographic data, these findings represent pulmonary septic emboli as a complication of IV drug use associated infective endocarditis (infected tricuspid vegetation).

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