PMC8056236_01
Initial Lumbosacral MRI showing mild impingement on the left L5 and S1 nerve roots.
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MRI revealed L4/5 and L5/S1 left lateral disc protrusions with mild impingement on the left L5 and S1 nerve roots (Fig. 1).
Transthoracic echocardiography parasternal short axis view showing elongated chaotic highly mobile echo density attached to normally structured tricuspid valve.
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Transthoracic echocardiography was done to rule out IE given that she has bacteremia with virulent organism, it showed elongated chaotic highly mobile echo density attached to native tricuspid valve with mild tricuspid valve regurgitation. (Fig. 2).
Transesophageal Echocardiography showing rectangular shaped vegetation attached to the entire length of anterior tricuspid leaflet, measuring 1.8 * 1.5 cm.
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Transesophageal echocardiography showed vegetation mass attached to entire length of anterior tricuspid leaflet which is highly mobile with size of 1.5 *1.8 cm (Fig. 3).
Repeated Lumbosacral MRI showing L5-S1 spondylodiscitis.
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