Legend Abnormal symmetric high signal is seen in the gray nuclei (basal ganglia + thalamus) on T1 images ( middle +right). Corresponding dark signal in the same regions is seen on a single T2 axial (left).

Legend Single voxel spectra reveal markedly elevated lactate peaks (doublet at 1.3 ppm).

Legend Contrast CT axial images demonstrate diffusely low density throughout the cerebrum with relative sparing (normal density) of the cerebellum and brainstem. Key words: mri ct stroke ischemia mrs pediatric newborn vascular

Brain Diagnosis: Hypoxic-ischemic encephalopathy