CTICasesInfective endocarditis
Imaging findings
Contrast-enhanced CT chest and abdomen show rapidly progressive, bilateral, cavitating consolidations (necrotizing pneumonia), a pleural drain for an empyema, and large mobile vegetations on the tricuspid valve leaflets seen on the abdominal CT portion.
Key takeaways
Right-sided infective endocarditis typically involves the tricuspid valve and is a major complication in intravenous drug users. Embolization of valve vegetations leads to septic pulmonary emboli, presenting as bilateral cavitating consolidations.
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