Legend Axial FLAIR images show multiple hyperintense foci affecting the subcortical U-fibers and the adjacent cortex.

Legend Left: Mildly hyperintense foci on axial DWI likely represent T2 shine-through. Right: Axial and Coronal T1WIs with fat saturation do not show any abnormal enhancement.

Legend MRA of COW show several regions of abnormal arterial stenosis, which is most notable in the bilateral MCA territories. Key words: mri mra dwi vascular stroke infarction ischemia inflammation white matter disease

Brain Diagnosis: Lupus cerebral vasculitis