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There is symmetric and bilaterally increased signal intensity within the globi pallidi, on T2 and T2 FLAIR imaging. There is associated restriction diffusion and reduced average diffusivity on ADC mapping. The features are consistent with bilateral, symmetric areas of infarction within the globi pallidi. The deep white matter is of normal signal intensity on MR imaging of the brain, with no other site of infarction/anoxic-ischemic injury identified.
Punctate hemosiderin blooming is identified on SWI.
There is normal enhancement post contrast administration.
MRI brain is otherwise normal.