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Washington University Experience | VASCULAR | Aneurysm - Infective (Mycotic) | 6A1 Aneurysm (Case 6) mycotic gross 1
The lesion is surely a peripheral hemorrhage involving distal MCA vasculature and is most likely an infective aneurysm. However, the presence of cortical atrophy, ventricular dilatation and in unusual place for a non-traumatic hemorrhage suggests the possibility of congophilic (amyloid) angiopathy.