“…Among sites of nonvalvular infection, the RA is the most common, and right-sided endocarditis is associated with the central venous catheter tip at or near the RA. 6 It is likely that underlying structural abnormalities predisposed to nonvalvular infection in the first case with direct seeding from a mitral valve lesion in the latter. A magnified view of the right ventricle (block arrow) shows a normal tricuspid valve (white arrow) and papillary muscle (short arrow), as well as a second papillary muscle (long arrow) with somewhat irregular endocardial thickening.…”