A 75-year-old male with diabetes type II and ischemic heart disease presented to the emergency department with a painful mass in the right wrist. He had a history of coronary angiogram performed 26 days earlier. A pulsatile reddened mass was identified on examination. His blood samples showed raised inflammatory parameters. CT scan revealed a distal right radial artery multilobular aneurysm (Panel A). Due to suspected mycotic aneurysm, the patient underwent surgical exploration (B), with ligature of the right radial artery after confirmation of a negative Barbeau test. Positive cultures for Pseudomonas aeruginosa in wound and blood were found.