AJDRAJNR - American Journal of Neuroradiology

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Figure 1


Fig 1. Patient 1 is a 73-year-old man who developed altered mental status 11 days after orthotopic liver transplant for cholangitis and cirrhosis with blood pressure at toxicity of 140/76 mm Hg. Mild organ rejection was being treated with increased immune suppression (trough tacrolimus level minimally elevated: 21 ng/mL), and intercurrent blood culture results were positive for coagulase-negative Staphylococcus. MR imaging (FLAIR sequence) obtained at toxicity demonstrates cortex and deep WM vasogenic edema in the occipital region bilaterally (open arrows) judged Edema grade 3. Follow-up MR imaging 1 month later demonstrated complete resolution of the vasogenic edema.





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