PMC10166220_01
CT imaging shows acute splenic infarct.
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CT of the abdomen and pelvis demonstrated a small linear wedge-shaped hypodense area within the splenic hilum concerning for acute splenic infarct (Fig. 1).
Mid esophageal Transesophageal Echogram (TEE) of Left ventricular outflow tract and Aortic valve and ascending aorta. The vegetation appears to be associated with both the non-coronary and right coronary cusps. There is no significant insufficiency.
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His course of treatment was not initially extended as he had no evidence of endocarditis on a transthoracic echocardiogram and had normalized his hepatic function tests (see Fig. 2).