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Bilateral cerebral cortical and subcortical patchy and confluent lesions with restricted diffusion are seen with hyperintense DWI, low ADC signal and subtle T2/FLAIR hyperintensity. The amygdalae, the hippocampi as well as the insular cortices are seen involved. The deep grey matter nuclei (basal ganglia) as well as the the thalami and the cerebellum are spared.
A few bilateral cerebral deep white matter lesions with hyperintense T2/FLAIR signal are seen consistent with chronic small vessel disease.