PMC9649954_01
PMC9649954_02
A and B) axial cut FLAIR image of the brain shows left posterior parietal periventricular white matter and left centrum semiovale foci of FLAIR hyperintensities (yellow straight arrows). FLAIR hyper intense signal in the cortical branches of the left MCA indicating slow flow or occluded vessel (curved arrows). (C, D) axial Diffusion Weighted images b1000 images showing high signal intense foci at the site of FLAIR hyper intensities corresponding with iso to slightly low signal intensity on Apparent Diffusion Coefficient map (E, F) representing mild restricted diffusion and are suggestive of multiple small subacute infarcts.
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PMC9649954_02_gr1.jpg
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MRI, as seen in Fig. 1, showed multiple foci of mild restricted diffusion seen in the left centrum semiovale, left parietal periventricular white matter, left temporal periventricular white matter and in the right insular cortex, all suggestive of subacute infarcts.
(G) sagittal post contrast image of the brain shows multiple enhancing foci mainly cortical in the left insular cortex and the left parietal lobe. (H) Time of flight MRA 3D reconstructed image shows abrupt cut off in the left inferior division of the left MCA with attenuated cortical branches of the superior division of the left MCA.
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MRA, as shown in Fig. 2, confirms abrupt cut- off of the inferior division of the left MCA just distal to its origin.