A 40 year old man came to ER with loss of consciousness. Patient's relative gave a history of A. Patient is a known alcoholic and hypeensive. NCCT head was normal. GCS is 8. Urgent MRI is performed . Diagnosis is?
MRI image shows multiple blooming foci noted diffusely involving the bilateral cerebral hemisphere predominantly at gray-white matter junction. Given the clinical history, most probable diagnosis DAI. Blooming aifact is a susceptibility aefact encountered on some MRI sequences in the presence parmagnetic substances that affect the local magnetic milieux. Although it is an aifact, it may be deliberately exploited to improve detection of ceain small lesions Cerebral amyloid angiopathy is seen old age .
Cerebral amyloid angiopathy
SAH
Diffuse axonal injury
SDH
Radiology Q Bank