This is a case of diffuse axonal injuries in classic locations:
- gray/white matter interface (predominantly in frontal and temporal lobes)
- corpus callosum (especially the splenium)
- dorsolateral midbrain
The lesions appear as T2/FLAIR hyperintense foci which show restricted diffusion. Hemorrhagic lesions additionally show hypointense signal in T2* gradient echo and susceptibility weighted images (SWI).