Case of the Month

Our Imaging Case of the Month is presented as a part of the Imaging Department's residency teaching program. Each month a resident collaborates with one of our attending imaging physicians to present an interesting case to the Cedars-Sinai medical community. The case is used to teach both imaging and other residents at Cedars-Sinai. Below is the current Case of the Month.

Thomas J. Learch, MD

Constant Chest Pain

Submitted by Brian Lee, MD, and Thomas J. Learch, MD.

A 43-year-old male with history of tertiary syphilis with syphilitic aortitis and aortic valve replacement is transferred to your hospital for management of aspergillus fungemia and presumed prosthetic valve fungal endocarditis diagnosed at an outside hospital. At the time of transfer, the patient complains of constant chest pain. Review of systems also reveals fevers and visual changes for the past four to five months. Given the visual symptoms and risk for embolic vegetations, a CT scan of the brain was performed. The following is a noncontrast CT image of the brain:

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