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©2013 UpToDate ® Print Email Aspergillus cortical infarct with hematoma 58-year-old man with a kidney transplant. Unenhanced CT scan shows hematoma complicating a cortical infarct in left frontal lobe. Note intraventricular extension of hemorrhage. Autopsy showed Aspergillus thrombosis and vascular invasion. The patient died before cerebral angiography could be performed; a mycotic aneurysm could not be identified at autopsy. From: Ashdown BC, Tien RD, Felsberg GJ. Aspergillosis of the brain and paranasal sinuses in immunocompromised patients: CT and MR imaging findings. AJR Am J Roentgenol 1994; 162:155. Reprinted with permission from: the American Journal of Roentgenology.