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MRI in distal basilar artery embolism

T2-weighted images (images A and B) show high signal intensity in the bilateral cerebellar hemispheres (left more than right), pons, and right thalamus. As compared with RPLS, diffusion-weighted images (images C and D) show marked high signal in these regions and ADC maps (images E and F) show low signal consistent with restricted diffusion and infarct.

MRI: magnetic resonance imaging; RPLS: reversible posterior leukoencephalopathy syndrome; ADC: apparent diffusion coefficient.

Courtesy of Eric D Schwartz, MD.

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