PMC6365989_01
Chest radiograph showing pneumonic consolidation in the right lower lung field (arrow) and haziness around the wall of the left bronchus (arrowhead).
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Her chest radiograph showed pneumonic consolidation of the right lower lung and a patchy density around the wall of the left bronchus (Figure 1).
Initial brain magnetic resonance diffusion-weighted images (A) and apparent diffusion coefficient map (B) obtained on day 3 of hospitalization showed no definite abnormality involving the cerebral hemispheres. Repeated diffusion-weighted imaging (C) and apparent diffusion coefficient map (D) on day 6 of hospitalization revealed symmetrical diffusion restriction involving the subcortical white matter bilaterally, with sparing of the perirolandic area. Follow-up diffusion-weighted imaging (E) and apparent diffusion coefficient map (F) obtained 1 month later showed diffuse and extensive cerebral atrophy.
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Brain MRI with diffusion-weighted imaging and electroencephalography (EEG) showed no abnormality on day 3 of hospitalization (Figure 2A and B). Follow-up brain MRI with diffusion-weighted imaging (day 6) showed newly developed diffused cortical swelling in the cerebral hemispheres and symmetrical restricted diffusion in both subcortical white matter, with sparing of the perirolandic area (Figure 2C and D). However, her brain MRI showed diffused atrophic changes involving both cerebral hemispheres (Figure 2E and F).