Pre-operative computed tomography coronary angiogram image of mycotic aneurysms and para-aortic abscess. Abnormal aortic appearance with outpouching of both right and left coronary cusps resulting in abnormal cavity consistent with ‘mycotic aneurysms’. There is also a para-aortic thickening and extravasation of contrast suggestive of ‘para-aortic abscess’ formation. Abs, abscess; Asc A, ascending aorta; AV, aortic valve; LMCA, left main coronary artery; LV, left ventricle; MA, mycotic aneurysms; RCA, right coronary artery.