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T2/FLAIR hyperintensity noted involving the bilateral insular cortex, bilateral hippocampus, anterior temporal lobe, cingulate gyrus and bilateral basal ganglia showing strong diffusion restriction. Affected grey matter are swollen and appears hypointense on T1.
Few T2/FLAIR Hyperintense foci also noted in the right occipital lobe and bilateral cerebellar hemisphere showing restriction on DWI suggest acute infarct.
Confluent areas of T2/FLAIR hyperintensity in the bilateral periventricular white matter and centrum semiovale due to small vessel ischemic changes.