PMC7666633_01
Chest X-ray revealed diffuse bilateral lower lobe predominant airspace opacities with nodularity.
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A portable chest X-ray disclosed diffuse lung opacities suspicious of septic emboli (Figure 1).
Transthoracic echocardiogram revealed extensive mobile 3.7 x 0.5 cm vegetation in the pulmonary valve with moderate to severe pulmonic regurgitation mobile 3.7 x 0.5 cm vegetation in the pulmonary valve with moderate.
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The transthoracic echocardiogram (TTE) demonstrated an extensive mobile 3.7 x 0.5 cm vegetation on the pulmonary valve with moderate to severe pulmonic regurgitation (Figure 2).
MRI left shoulder revealed acromioclavicular joint synovitis with periarticular soft tissue edema consistent with septic arthritis and distal clavicle marrow edema suggestive of osteomyelitis. A subcentimeter abscess in the subacromial bursa was also noted.
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Magnetic resonance imaging (MRI) of the left shoulder revealed acromioclavicular joint septic arthritis and abnormal marrow edema in the distal clavicle concerning for osteomyelitis (Figure 3). A subcentimeter abscess in the region of subacromial bursa was also seen (Figure 3).
MRI pelvis revealed peripherally enhancing fluid collection extending into the adjacent soft tissues from the pubic symphysis consistent with septic arthritis. Left pubic body erosion without confluent marrow replacement indicates osteomyelitis. It also shows bilateral hip joint effusions with nonspecific left hip synovitis.
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Pelvis MRI showed peripherally enhancing fluid collection from pubic symphysis compatible with septic arthritis and erosion in the left pubic body without confluent marrow replacement to indicate osteomyelitis and bilateral hip joint effusions (Figure 4).