Fig. 4

“A 42-year-old female patient” MRI exam revealed multiple well-defined abnormal signal intensity lesions at the cerebellum and Lt. occipital regions that exhibit hypointense signal at T1 with hyperintense foci within cerebellum lesion (suggesting blood) (a, b) and hyperintense signals at T2 (c, d) with no associated edema. DWI and ADC map (e, f and g, h) showed mixed diffusion changes (restriction/T2 shin effect at cerebellum and facilitated diffusion of occipital lesion). Post Gad (i, j) showed no contrast appreciable enhancement. MRS (k) revealed no significant changes either of NAA, Cr, or Cho peaks with maintained ratios at the lesional and pre-lesional areas. MRI diagnosis: multiple infarcts of different chronologic ages that proved by clinical diagnosis and follow-up