Axial T2WI's show hyperintense signal abnormalities in the right temporal-occipital
lobe and the right putamen. Multiple bilateral punctate hyperintensities are noted
in the basal ganglia. In addition, patchy hyperintensities are present in the white matter
of the forceps major behind the lateral ventricles. There is no associated mass effect.
Axial T1WI's show corresponding lesions are hypointense,
except for the forceps major which are isointense.
Axial FLAIR images reveal hyperintensity in the forceps major and around the
tips of the frontal horns. The right putaminal lesion has a hyperintense perimeter
surrounding a hypointense center. The punctate areas of abnormality seen in
pages 1 & 2 are CSF-like on FLAIR.
Key words: mri vascular
Right putaminal lacunar infarct,
Right temporal-occipital infarct,
Deep white matter ischemia,
& multiple VR spaces