PMC7168754_01
Simple chest XR.
CRIID2020-1453126.001.jpg
PMC7168754_01_CRIID2020-1453126.001.jpg
fig1
CT scan of the chest without contrast.
CRIID2020-1453126.002.jpg
PMC7168754_01_CRIID2020-1453126.002.jpg
fig2
Computed tomography (CT) scan (Figure 2) angiogram of the chest was performed, and it showed patchy lung infiltration in both sides compatible with pneumonia.
TEE showed large vegetation (blue arrow) over the pulmonic valve.
CRIID2020-1453126.003.jpg
PMC7168754_01_CRIID2020-1453126.003.jpg
fig3
At this time, a large mass compatible with vegetation was seen over the pulmonic valve measured ~1.9 x 0.9  cm (Figure 3).
(a) Image from the surgical field showing large vegetations (black arrows) over the valve prior to the resection. (b) Image from surgical field after pulmonic valve resection along with all the vegetations.
CRIID2020-1453126.004.jpg
PMC7168754_01_CRIID2020-1453126.004.jpg
fig4
CXR after completion of the therapy with IV vancomycin.
CRIID2020-1453126.005.jpg
PMC7168754_01_CRIID2020-1453126.005.jpg
fig5
Repeated CXR after completion of the course of therapy showed total resolution of all lung nodules (Figure 5).