PMC8613505_01
(A-D) Head magnetic resonance imaging diffusion-weighted images. High signal intensity was seen in the dorsal area around the right sylvian fissure, the right corona radiata, and the right centrum semiovale, indicating acute cerebral infarction, mainly in the right middle cerebral artery territory. Multiple subcortical microinfarcts (arrows) are detected in the bilateral frontal and occipital lobes. (E) Magnetic resonance angiography. The area distal to the right middle cerebral artery M1 is poorly delineated (arrow).
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Head magnetic resonance imaging (MRI) revealed extensive cerebral infarction in the right middle cerebral artery territory and multiple acute to subacute cerebral infarctions in the frontal, temporal-occipital, and occipitoparietal subcortical regions (Fig. 1).
(A) Contrast-enhanced computed tomography. A mass was detected that extended from the left side of the prostate to the left obturator internus muscle (arrow). (B) Contrast-enhanced computed tomography. Bilateral femoral deep venous thrombosis was detected (arrows). (C) Magnetic resonance imaging T2-weighted image coronal section at 4 months after stroke onset. Solid tumor is detected from the prostate base to the apex, mainly in the left peripheral zone and the transitional zone (arrows).
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A systemic evaluation was performed using contrast-enhanced computed tomography (CT), which showed deep vein thrombosis in the bilateral lower limbs and a tumor extending from the prostate to the obturator internus muscle (Fig. 2).
Chest radiograph. Enlarged cardiac shadow and enhanced vascular shadows in bilateral lung fields indicate pulmonary edema.
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The patient was transferred to an acute care hospital (Fig. 3).