PMC10021091_01
Computed tomography findings on day 8 from the onset: the intracranial
brain parenchyma was scattered with patchy low-density foci. (As shown
by the arrows).
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PMC10021091_01_10.1177_2050313X231157988-fig1.jpg
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Computed tomography (CT, day 8) showed that the intracranial brain parenchyma was scattered with patchy low-density foci, and patchy high-density shadows were seen in both lungs with blurred edges; mild cerebral oedema and pneumonia were considered in the initial diagnosis (Figure 1).
MRI (day 10) showed bilateral fronto-parietal-temporal-occipital white
matter and corpus callosum with symmetrical T1W hypointensity and T2W
hyperintensity foci, enhanced sulcus lines, and patchy enhancement. (As
shown by the arrows).
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PMC10021091_01_10.1177_2050313X231157988-fig2.jpg
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The diagnosis is PRES (Figure 2).
MRI (17 days after discharge) showed that the multiple abnormal signals
in the original bilateral frontal, parietal, and occipital lobes were
significantly absorbed and reduced. (As shown by the arrows).
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The right frontal lobe still had patchy chronic phase bleeding changes (Figure 3).