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What is the most plausible explanation for this appearance of multiple cerebral infarcts?
Infarcts involving multiple vascular territories bilaterally should prompt consideration for embolism due to a central cause, most commonly from a cardiac source.
There are multiple foci of restricted diffusion scattered bilaterally along the brain parenchyma, involving multiple vascular territories. Also, an haemorrhagic focus is noted in the right thalamus. The background brain demonstrates features of prominent white matter chronic small vessels changes.