Figure 6a.
Multiple brain infarcts in various vascular territories and intraparenchymal hemorrhage after extubation in a 58-year-old woman with a history of diabetes mellitus who was hospitalized with COVID-19. The patient’s hospital stay was complicated by multiorgan failure, line sepsis, and new neurologic deficits. (a) Axial T2-weighted (T2) FLAIR brain MR image shows a focal heterogeneous hyperintensity (arrow) within the right occipital lobe, representing an evolving intraparenchymal hematoma, with surrounding edema and mass effect. (b, c) Axial diffusion-weighted (DWI) and ADC MR images show restricted diffusion in the right frontal lobe, compatible with a small focus of acute infarct (arrow). Additional foci of restricted diffusion were depicted in the left frontal lobe (not shown), consistent with small infarcts in different vascular distributions.