36F with HFrEF from post partum cardiomyopathy (8 years ago)with ICD, recurrent PE and renal infarcts congestive hepatopathy, chronic abdominal pain and anxiety presents to the ED with abdominal pain.

(EF 17% in 09/21) s/p AICD placement c/b thrombus, TIA, renal infarct, recurrent

 

PE with infarcts LLL

Tricuspid Regurgitation with Nutmeg liver

Cavitation of Infarct
Abscess formation