Figure.2: Thoracic computed tomography showing diffuse
bilateral pulmonary infiltrates. Ground-glass opacity of uncertain cause
is present.
There were no abdominal or pelvic abnormalities upon initial imaging
workup, and a plain CT scan of the brain was unremarkable, with no
ischemia or hemorrhage. (Fig.3) On the third day of admission, emergency
magnetic resonance imaging (MRI) Brain revealed extensive bilateral
symmetrical punctate foci of nearly the same size with abnormal signal
intensities. These foci affect the cerebral hemispheres with restricted
diffusion, decreased signals in susceptibility-weighted imaging (SWI)
indicative of microbleeds, and mottled fluid-attenuated inversion
recovery (FLAIR) signals. (Fig.4)