Cerebral amyloid angiopathy

Discussion:

The peripheral distribution of these microhemorrhages is very characteristic of cerebral amyloid angiopathy with little if any viable alternative diagnosis. 

Multiple cavernomas invariably have some blooming artifacts that are larger and visible on other sequences. They do not spare the basal ganglia. 

Miliary hemorrhagic metastases would be expected to also be more random and to have some enhancement and edema.

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