Septic pulmonary emboli in IVDU patient with infective endocarditis

Case contributed by Dr Mohammad A. ElBeialy


Acute chest pain. Patient has a background of intravenous drug use. Echocardiography shows infective tricuspid endocarditis.

Patient Data

Age: 40 years
Gender: Male
  • multiple small variable sized cavitating lesions are seen scattered within both lungs with perilesional haziness and air-space consolidation
  • left lung upper lobe apical segment as well as lower lobe posterior segment air space consolidation with air bronchogram
  • bilateral basal atelectasis
  • mild bilateral pleural reaction
  • small non-specific mediastinal lymphadenopathy
  • no hilar masses or enlarged lymphadenopathy
  • no gross cardiac anomaly

Case Discussion

The above described cavitating lung lesions are those of septic pulmonary emboli (in the clinical setting of IVDU and infective endocarditis) as well as left pulmonary air-space pneumonic consolidation with bilateral pleural reaction and basal atelectasis.

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Case information

rID: 34757
Published: 9th Mar 2015
Last edited: 4th May 2020
System: Chest, Cardiac
Inclusion in quiz mode: Included

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