27 year old injection drug user presents with infected right | Figure 1

27 year old injection drug user presents with infected right hand - she does not recall injecting into the site - it just became very swollen and painful over a period of three days.

She had positive blood cultures and occasional cough.

ID consult was requested. History reviewed and exam found a swollen phlebitic vein left forearm, which the patient states may have been a blood draw attempt. This was aspirated revealing 1 cc of purulence. No cxr obtained.

Screening cxr ordered by ID.

What does this show?

What infectious condition is this usually associated with? (Hint: IV drug user)

What is the most likely result of the forearm and blood cultures?

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