PMC8410444_01
Transoesophageal echocardiogram images suggestive of bicuspid native aortic valve infective endocarditis. AV: aortic valve; LV: left ventricle; RV: right ventricle; LA: left atrium. Transoesophageal echocardiogram demonstrates the classical "fish mouth" appearance of aortic bicuspid valve during systole (a), severe aortic regurgitation (b), 5 x 7 mm vegetation adherent to the ventricular aspect of the aortic valve seen in two-dimensional echocardiogram (c), and three-dimensional echocardiogram (d).
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Transoesophageal echocardiogram (TOE) revealed severe aortic regurgitation with significant destruction and a 5 x 7 mm vegetation (Figure 1).
Magnetic resonance imaging (MRI) and single-photon emission computed tomography-computed tomography (SPECT-CT) images of the spine suggestive of L3/L4 discitis. Sagittal-view MRI whole spine demonstrates hypointense T1-weighted signal (a) and hyperintense short tau inversion recovery- (STIR-) weighted signal (b) surrounding the L3/L4 vertebral disc consistent with edema, with no evidence of collection. SPECT-CT whole spine shows increased uptake surrounding the L3/L4 vertebral disc in both sagittal view and coronal view consistent with L3/L4 discitis.
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Magnetic resonance imaging (MRI) scan of the whole spine and bone scan localized with single photon emission computed tomography (SPECT)/CT both suggested L3/L4 discitis (Figure 2).