PMC7417053_01
Brain MRI. (a) Diffusion weighted images (DWI; b=1000) and (b) ADC maps recorded with a 3 Tesla scanner on admission day demonstrated widespread bilateral embolic infarctions supra- and infratentorially
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MRI showed widespread bilateral supra and infratentorial embolic infarctions (Fig. 1).
Trans-esophageal echography revealed two vegetations on the mitral valve, one measuring 6x7mm and situated basally adjacent to the anterolateral commissure (marked with an arrow)
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Trans-thoracic echocardiography (TTE) displayed no abnormalities; however, trans-esophageal echocardiography (TEE) the following day revealed two vegetations on the mitral valve, one on the anterolateral commissure (Fig. 2) and the other on the anterior leaflet.
A full body F-18 FDG PET scan following the endocarditis protocol showed unspecific areas of increased uptake in the retroperitoneum (marked with an arrow) without enlarged lymph nodes in the area, thought to be caused by lumbar vein embolization. No signs of malignancy or obvious foci of infection were observed
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A full-body F-18 FDG PET scan showed no signs of malignancy or obvious foci of infection (Fig. 3).