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Intraventricular and intraparenchymal haemorrhage noted at the right temporoparietal region, extending to the body of right lateral ventricle. It displays T1 and T2 hyperintense signal with a hypointense rim. It shows blooming in SWI and DWI restriction.
MRA revealed occlusion of the pre-communicating segment of both carotid arteries; also A1 and M1 segments of both ACAs and MCAs with extensive lenticulostriate collaterals recanalizing its distal segments forming puff of smoke appearance.
Scattered white matter T2 hyperintensities are noted mainly involving the periventricular area and centrum semiovale, in keeping of deep white matter ischemic changes.