Basal ganglia bleed
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MRI obtained a few days later variable signal consistent with the subacute timing. The majority of the bleed demonstrates high T1 and T2 signal consistent with extracellular met-Hb, with a peripheral rim of low signal (best seen on gradient echo) representing hemosiderin.
Time of flight MRA demonstrates the bleed as a globular region of high signal which should not be misinterpreted as flow.
Spontaneous basal ganglia bleed in a known hypertensive. CT performed on the day of presentation. MRI a few days later.