Septic pulmonary emboli

Case contributed by Masoud Farhadi
Diagnosis almost certain

Presentation

Known intravenous drug user complains of dyspnea and fever.

Patient Data

Age: 40 years
Gender: Male
ct

Non-contrast CT scan of the chest demonstrates bilateral pulmonary cavitating nodules with a ground glass halo, distributed throughout all zones of the lungs.

A feeding vessel sign can be seen in a few of the nodules.

Bilateral pleural effusion is seen.

Case Discussion

A known intravenous drug user presented with dyspnea and fever.

In light of the patient's history and echocardiographic data (infective endocarditis), the CT scan's findings represent pulmonary septic emboli.

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