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CT appearance of mycotic aneurysms of the intrapulmonary arteries in the right lung.

Mycotic aneurysms of the pulmonary arteries are reported in a patient with infective endarteritis in a patent ductus arteriosus. To date the preoperative definitive diagnosis of pulmonary mycotic aneurysm has been made by pulmonary angiography. The appearances on computed tomography are described and correlated with the angiographic findings. A 20-year-old woman presented with a 10-day history of malaise, rigors, vomiting, joint pains and non-productive cough which did not respond to antibiotics given one week prior to admission. As an infant the patient underwent repair of a patent ductus and until this admission had remained asymptomatic.