A 66-year-old female with known DM, and HTN, admitted with COVID pneumonia, progressed to severe ARDS requiring intubation, had deterioration of the level of consciousness, acute renal failure, and seizures with jerky movements of right upper limb. MRI brain axial images at supraventricular level (a) T1WI, and (b) T2-FLAIR shows pre- and post-central cortical/juxtacortical microbleeds with bright signal in T1 and FLAIR, and surrounding parenchymal edema (arrows in a, b). SWI at the same level (c) magnitude and (d) phase axial images demonstrates corresponding dephasing signal/blooming, as well as widespread punctate microhemorrhagic changes (long and short arrows respectively in c and d). ARDS, acute respiratorydistress syndrome; DM, diabetes mellitus; FLAIR, fluid attenuated inversionrecovery; HTN, hypertension; SWI, susceptibility-weighted imaging