PMC4612483_01
Diffusion MRI brain without contrast showing extensive infarctions within both cerebral hemispheres (see arrows).
JCHIMP-5-28843-g001.jpg
PMC4612483_01_JCHIMP-5-28843-g001.jpg
F0001
He presented again 5 days later with left arm weakness and was found to have multiple areas of punctuate infarctions of both cerebral and cerebellar hemispheres, more confluent within the right frontal lobe on magnetic resonance imaging (MRI) of the brain (Figs. 1 and 2).
Diffusion MRI brain without contrast showing multiple infarctions within the cerebellar hemispheres (see arrows).
JCHIMP-5-28843-g002.jpg
PMC4612483_01_JCHIMP-5-28843-g002.jpg
F0002
He presented again 5 days later with left arm weakness and was found to have multiple areas of punctuate infarctions of both cerebral and cerebellar hemispheres, more confluent within the right frontal lobe on magnetic resonance imaging (MRI) of the brain (Figs. 1 and 2).
Echocardiography with agitated saline contrast noting microbubbles entering the left atrium from the left lower pulmonary vein.
JCHIMP-5-28843-g003.jpg
PMC4612483_01_JCHIMP-5-28843-g003.jpg
F0003
The echocardiography with agitated saline contrast revealed microbubbles of moderate opacity entering the left atrium from the left lower pulmonary vein indicative of a grade 2 intra-pulmonary arteriovenous shunt (Fig. 3).