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Chest x-ray.
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IU/L, AST 48 IU/L, alkaline phosphatase 122 IU/L, total bilirubin 2.0 mg/dL. Initial imaging consisted of a chest x-ray which showed no acute cardiopulmonary process. (Fig. 1) A CT-angiogram of the chest with and without contrast showed multiple cavitary lung masses, suggestive of septic emboli, including a dominant cavitary lung mass at the right base measuring up to 4.4 cm.
CT angiogram with contrast showing new multiple cavitary lung masses, suggestive of septic emboli, and trace right pleural effusion.
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There was also a trace right pleural effusion. (Fig. 2) Tuberculosis testing was performed as well and found to be negative.