CTICasesMycotic Aneurysm (from Enterococcus Faecalis Endocarditis)
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Imaging findings
A very nice mycotic aneurysm was identified in the right lower lobe, associated with subsequent areas of thrombus, distal occlusion, and parenchymal mosaicism.
Key takeaways
This case exemplifies a mycotic aneurysm, a serious vascular complication resulting from infective endocarditis, in an intravenous drug user with multiple prosthetic heart valves and documented Enterococcus faecalis bacteremia. The imaging demonstrates the aneurysm itself, along with secondary findings such as associated thrombus, distal vascular occlusion, and mosaic perfusion.
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