Imaging features of typical PRES include T2 hyperintensity (vasogenic edema) with a parietal and occipital distribution.

This case however shows a central-variant of PRES which is considered an uncommon variant. There should be involvement of the brainstem or basal ganglia. It is said there should be no involvement of subcortical white matter.

Although this case shows a few supratentorial locations with white matter T2 hyperintensity, the most of the T2 hyperintensity is located in the pons and cerebellum. We believe this should be considered a central-variant of PRES.