CTICasesTricuspid valve endocarditis with septic emboli
Imaging findings
Chest radiograph and CT show bilateral, multifocal, nodular consolidations and a large, thin-walled cavitary lesion in the left lung. CT demonstrates large, mobile, irregular vegetations attached to the atrial side of the tricuspid valve leaflets.
Key takeaways
Right-sided endocarditis classically presents with multiple, bilateral septic pulmonary emboli that frequently cavitate. Identifying large tricuspid valve vegetations on CT (even non-gated) helps establish the diagnosis.
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