PMC6968256_01
ECG.
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Electrocardiogram showed sinus bradycardia with frequent premature atrial contractions (Figure 1).
CT scan.
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On day 2 of admission, the patient had a CT Scan of the chest which showed a moderate left-sided pleural effusion (Figure 2), without any consolidation suggestive of pneumonia.
Echocardiogram.
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Transthoracic echocardiogram was done which showed moderate-sized tricuspid valve vegetation with severe tricuspid regurgitation, not seen on prior echocardiogram (Figure 3).