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A 31-year-old woman with SLE and hypertension presented with headache and change in vision progressing to a generalized seizure. Axial T2-FLAIR images (A–C) show symmetric T2-FLAIR hyperintensities involving the cortical and subcortical white matter of the parietal and occipital lobes, and to a lesser extent also the frontal lobes, temporal lobes, cerebellum and brainstem (white arrows), consistent with PRES.
