Septic pulmonary emboli

Case contributed by Ali Abougazia
Diagnosis probable

Presentation

IV drug user. Now complaining of fever, productive cough and chest pain.

Patient Data

Age: 35 years
Gender: Male

CT Chest

ct

Both lungs are studded with numerous variable sized cavitating nodules that appear to colese in both lower lobes.

Bilateral minimal pleural effusion.

ultrasound

A mass is seen attached to lateral leaflet of tricuspid valve measuring about 13 mm X 25 mm on echocardiography.

Case Discussion

Bilateral pulmonary cavitating nodules. In light of the patient’s history and echocardiographic data, these findings represent pulmonary septic emboli as a complication of IV drug use associated infective endocarditis (infected tricuspid vegetation).

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.