Legend Axial FLAIR images show subtle hyperintensity in the white matter of posterior right temporal/occipital lobes.

Legend Left: Axial FLAIR images show increase in size of the hyperintensity in the same region. Right: Post contrast T1WI shows mild enhancement of the lesion.

Legend Upper left: Post contrast Coronal T1WI demonstrates gyriform enhancement of the right parietal and posterior temporal lobes. Right: Multivoxel spectroscopy shows elevated choline and decreased NAA with increased lipid and lactate peaks in the right posterior parietal region, compared to the more normal left side.

Legend Left: DWIs reveal restricted diffusion of the lesion that is confirmed by low intensity in the corresponding ADC map. Right: MRA of COW show severe stenosis of the M1 segment of the right MCA with decreased distal flow. Key words: mri mrs mra dwi vascular stroke infarction ischemia

Brain Diagnosis: Middle cerebral artery stenosis with cortical & deep white matter infarcts