case_images: PMC4329688_01
case_images: (A) Axial FLAIR and (B) gradient echo (GRE) MR images at the level of basal ganglia show multifocal FLAIR hyperintense lesions at gray-white matter junction and in bilateral basal ganglia. None of the lesions shows evidence of hemorrhage (B)
case_images: IJRI-25-52-g001.jpg
case_images: PMC4329688_01_IJRI-25-52-g001.jpg
case_images: F1
case_images: Magnetic resonance imaging (MRI) (Siemens Avanto, Erlangen, Germany) was performed the next day which revealed multifocal T2-weighted (T2W) and fluid attenuated inversion recovery (FLAIR) hyperintensities in bilateral cerebral hemispheres including basal ganglia [Figure 1].
case_images: (A) Axial DWI MR image at the level of basal ganglia shows restricted diffusion within these lesions. (B) Contrast-enhanced T1W MR image shows peripheral rim enhancement of the lesions
case_images: IJRI-25-52-g002.jpg
case_images: PMC4329688_01_IJRI-25-52-g002.jpg
case_images: F2
case_images: Some of these regions showed restricted diffusion and subtle peripheral contrast enhancement [Figure 2].
case_images: Follow-up GRE MR image, done after 72 h, shows multifocal areas of blooming within the lesions, suggestive of hemorrhage
case_images: IJRI-25-52-g003.jpg
case_images: PMC4329688_01_IJRI-25-52-g003.jpg
case_images: F3
case_images: Repeat MRI was performed which revealed hemorrhages [Figure 3] in the lesions that were noted previously.