Internal water shed infarction

Case contributed by Dr Ahmed Elowaidy

Presentation

Rule out bleed post fall. On warfarin. No acute focal neurology

Patient Data

Age: Elderly

The study is negative for acute intra-parenchymal bleeding.

Incidentally noted, multiple hypoattenuating areas in the centrum semiovale and corona radiata in a typical appearance for internal watershed infarctions (old insult).

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