EURORAD ESR

Case 9511

Hypertensive microangiopathy

Author(s)
Schepers S, Barthels C

Department of Radiology,
Jessa ziekenhuis campus Salvator Hasselt,
Belgium
 
Patient
male, 67 year(s)
 
 
  • Figure 1
    Axial CT images without contrast

    Macrohaemorrhage on the right side of the pons.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 2
    Axial T1-weighted SE images

    Pontine macrohaemorrhage

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 3
    Sagittal T1-weighted SE images

    Pontine macrohaemorrhage

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 4
    Axial SWI images

    Blooming artefacts (microhaemorrhages) in corticosubcortical regions and deep gray matter.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 5
    Axial T2-weighted TSE images

    At the same level as figure 4: no microhaemorrhages visible on a standard T2 TSE image.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 6
    Axial FLAIR images

    Bilateral periventricular hyperintensities due to ischaemic disease.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 7
    Additional images
     

    Axial FLAIR image: bilateral periventricular hyperintensities.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Axial FLAIR image.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Axial FLAIR image.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Axial FLAIR image.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Axial FLAIR image.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Axial FLAIR image: pontine macrohaemorrhage.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Axial SWI image.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Axial SWI image: blooming artefacts (microhaemorrhages) in corticosubcortical regions.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Axial SWI image: blooming artefacts in corticosubcortical regions and deep gray matter.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Axial SWI image.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Axial SWI image.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
Macrohaemorrhage on the right side of the pons.
 
Pontine macrohaemorrhage
 
Pontine macrohaemorrhage
 
Blooming artefacts (microhaemorrhages) in corticosubcortical regions and deep gray matter.
 
At the same level as figure 4: no microhaemorrhages visible on a standard T2 TSE image.
 
Bilateral periventricular hyperintensities due to ischaemic disease.
 
Axial FLAIR image: bilateral periventricular hyperintensities.
 
Axial FLAIR image.
 
Axial FLAIR image.
 
Axial FLAIR image.
 
Axial FLAIR image.
 
Axial FLAIR image: pontine macrohaemorrhage.
 
Axial SWI image.
 
Axial SWI image: blooming artefacts (microhaemorrhages) in corticosubcortical regions.
 
Axial SWI image: blooming artefacts in corticosubcortical regions and deep gray matter.
 
Axial SWI image.
 
Axial SWI image.
 
 
 
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