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Cranial MRI examination of a nine-year-old male showing ADEM-like pathological signal changes in bilateral symmetrical deep and subcortical white matter (white arrow) (a-d) and necrosis in the parenchyma (black arrow) in the follow-up. The patient also has laminar necrosis (black arrow), and contrast enhancement is seen in the affected areas (white arrow), evaluated as acute hemorrhagic necrotizing encephalomyelitis (e-h).
