Fig. 8

A 55-year-old man with a history of chronic myeloid leukemia presents with fever and chest pain. (a) An axial non-contrast CT scan of the thoracic aorta demonstrates crescentic mural thickening (arrow) of the mid-descending thoracic aorta. (b) An axial T1 double inversion recovery (DIR) MRI pre-contrast image demonstrates crescentic mural high signal in the same location in the descending thoracic aorta. (c) An axial T1 MRI post-GBCA image demonstrates crescentic mural enhancement in the corresponding location, consistent with an aortitis. The patient had new cryptococcal sepsis, with no other focus of infection, and a diagnosis of cryptococcal aortitis was made. The patient died despite systemic antifungal treatment. Ao = descending thoracic aorta