case_images: PMC11135113_01
case_images: Brain axial CT with occipital hypodensity (a) and brain magnetic resonance imaging with post-contrast T1 (b) T2 (c) T2 fluid-attenuated inversion recovery (FLAIR) (d) apparent diffusion coefficient (ADC) (f) and diffusion (e) axial sequences: We noted bilateral juxta and subcortical parieto-occipital, with cortical involvement, T2 and FLAIR high signal ((c) and (d)), diffusion and ADC high signal ((e) and (f)), and low signal occipital area with discrete gyral enhancement post-contrast T1 (c), suggesting a posterior reversible leukoencephalopathy.
case_images: 10.1177_2050313X241257444-fig1.jpg
case_images: PMC11135113_01_10.1177_2050313X241257444-fig1.jpg
case_images: fig1-2050313X241257444
case_images: Additionally, discrete gyral enhancement was observed post-contrast on the T1 sequence, suggestive of PRES (Figure 1).