Head imaging from Case 1. (A) Axial fluid inversion recovery MRI with (B) diffusion weighted imaging and (C) apparent diffusion coefficient images showing the chronic, evolving right MCA infarct from 2 months prior as demonstrated by gliotic changes on T2 FLAIR (arrowhead, A) and T2 shine-through effect on ADC (arrowhead, C) as well as the acute ischemic changes involving the left MCA territory (star, A-C) with area of hemorrhagic transformation (arrow, A).