Presentation
IV drug user. Now complaining of fever, productive cough and chest pain.
Patient Data
Age: 35 years
Gender: Male
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Axial lung window
Both lungs are studded with numerous variable sized cavitating nodules that appear to colese in both lower lobes.
Bilateral minimal pleural effusion.
From the case:
Septic pulmonary emboli
Oblique
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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