PMC2946615_01
This is a transthoracic echocardiogram. White arrows point to the 2.6 x 1.7 cm pedunculated vegetation.
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fig1
Trans-thoracic echocardiogram (Figure 1) showed a 2.2 x 1.6 cm pedunculated vegetation, noted on the base of the posterior cusp of the tricuspid valve with moderate tricuspid regurgitation.
White shows cavitary and non-cavitary small nodular lesions changes consistent with pulmonary septic embolization and the black arrow shows a small left pleural effusion. Black and white arrow is showed a complicated ligulae pneumonia.
CRM2010-982521.002.jpg
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fig2
Given the fact that the patient had valvular vegetations, a CT scan (Figure 2) was done to rule out pulmonary septic embolism.