MR findings of a patient with hemolytic uremic syndrome involving the
CNS are described. Abnormal high signal intensity on T2-weighted image
s combined with swelling in the lentiform nucleus, posterior limb of i
nternal capsule, external capsule bilaterally, and left extreme capsul
e was shown on initial MR; a small low signal intensity in the left pu
tamen on T1- and T2-weighted images and generalized atrophy in the are
a of high signal intensity on previous T2-weighted images was shown on
follow-up MR. These findings indicate infarct with focal hemorrhage,
which is one of the histopathological features of CNS complication in
hemolytic uremic syndrome.