A four-year-old child was brought by his parents with complaints of fever and altered sensorium since four days
Both the caudate and lentiform nuclei are bulky with T2 hyperintensity. Diffusion restriction is present in both the lentiform nuclei.
On repeat imaging after one month (bottom), there is FLAIR hyperintensity in both the caudate and lentiform nuclei with gliotic changes in the putamen.