PMC6838464_01
Computed tomography abdomen and pelvis demonstrating hypointense lesion suggesting splenic infarction (arrow).
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Contrast abdominal and pelvic computed tomography showed an enlarged spleen with non-enhancing focus suggestive of infarction (Fig. 1).
Lumbosacral magnetic resonance imaging with multiple foci depicting L1/L2 discitis (orange arrow), osteomyelitis (white arrows) and psoas abscess (green arrow).
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Lumbosacral magnetic resonance imaging uncovered bilateral psoas abscesses and lumbar vertebral discitis (L1/L2) within a diffusely degenerative spine (Fig. 2).
Transesophageal echocardiography depicting mitral subvalvular chordae echodensity (14 mm) in keeping with vegetation (arrow) along with severe aortic regurgitation on color-flow Doppler (blue jet).
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Transthoracic and transesophageal echocardiography both demonstrated retracted aortic leaflets associated with lack of coaptation and severe regurgitation in addition to a linear, mobile subvalvular mitral echodensity (Fig. 3) without significant regurgitation.