about 70 y old patient was admitted by another hospital with following clinical afflitions: high fever, breathlessness, pulmonary bleeding, A metastasizing malignat underlaying disease was known.
In ct-scan we saw multiple small abscesses in lung. The portacath showed the typical signs of infection. In TTE I saw a floating structur in right atrium; in TEE you can see a big vegetation/ thrombus
on right atrium following the SVC.