Fig. 4

A 39-year-old male with dyspnea and fever, 6 days later, he presented with disturbed gait, weakness of both lower limbs and dysarthria. A Axial FLAIR sequence at high parietal regions, B axial FLAIR at parieto-occipital regions showing areas of altered high signal intensity, C axial FLAIR at both cerebellar hemispheres levels showing right cerebellar areas of altered high signal intensity. D Axial DWI at high parietal level, E axial DWI at parieto-occipital level, F axial DWI at both cerebellar levels showing restricted diffusion of the previously mentioned areas of altered high FLAIR signal intensity. G Long TE(144) of MRS, showing mild decreased NAA, creatine, myoinositol, mild elevated choline peak, H short TE(35) of MRS showing shooting of lipids/lactate peaks (consistent with necrosis and anaerobic metabolism). Diagnosis was multiple non-hemorrhagic infarctions. Diagnosis: multiple recent infarctions along both PCA and right posterior-inferior cerebellar artery territories)