PMC5114858_01
(a) Sagittal T2-weighted magnetic resonance imaging (MRI) showing degenerative spondylosis without significant cord compression. (b) Computed tomography scout image of left leg demonstrating fibular head without evidence of fracture. (c) Axial proton-density-weighted turbospin echo MRI showing the L5 nerve roots exiting the spinal canal, no foraminal stenosis, or disc herniation
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F1
Upon work-up, electroencephalogram (EEG) showed no evidence seizures, CT of the head showed no ischemia or hemorrhage, and MRI of the lumbar spine was negative for acute pathology [Figure 1].
(a) Computed tomography showing chronic left frontal encephalomalacia, but no acute intracranial blood. (b) T1-magnetization prepared rapid gradient echo unremarkable. (c) Fluid-attenuated inversion recovery revealing right frontoparietal hyperintensity. (d) T2-gradient recall echo showing punctate pre and post-central intraparenchymal hemorrhage (white arrow)
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F2
However, a gradient echo sequence (GRE) of MRI of the brain revealed a discrete area of microhemorrhage centered in the right precentral gyrus [Figure 2].