FIG 2. Axial FLAIR (A) and diffusion-weighted images (B) from the initial MR imaging examination both demonstrate minimal hyperintensities in the thalami bilaterally (arrows). The hyperintensities are more obvious on the diffusion-weighted image. T2 hyperintensity in the right frontal lobe represents encephalomalacia from a previous injury. Axial FLAIR (C) and diffusion-weighted images (D) from the follow-up MR imaging examination 9 months later show no abnormal signal intensities in the thalami bilaterally. Note the overall volume loss with enlarged sulci and ventricles.