International Journal of Clinical & Medical Images

30-years-old Egyptian male presented with 2 weeks history of dizziness and generalized fatigue. No significant past medical history. On examination, he was hypotensive with tachycardia, GCS was 15/15 with no neurological deficit but he was pale. Lab exam revealed low hemoglobin with increased reticulocyte counts. Peripheral smear showed normochromic normocytic anemia. Antinuclear Ab and Anti CTD titers were positive. Patient showed improvement with methylprednisolone, heparin and IV immunoglobulin (Figures 1-3). Multiple focal areas of diffusion restriction are noted at bilateral centrum semiovale and corona radiata regions, right frontal subcortical, left occipital cortical, head of right caudate nucleus and splenium of the corpus callosum consistent with recent ischaemic changes.