The purpose of this retrospective study was to demonstrate the MRI features
of cerebral manifestations in patients with fat embolism syndromes in comp
arisons with cerebral CT (CCT). Magnetic resonance imaging was performed ac
cording to standard protocols revealing multiple small non-confluent hyperi
ntense intracerebral lesions larger than 2 mm on proton-density and T2-weig
hted images to various extents in three of four patients with clinically su
spected cerebral fat embolism. Cerebral CT was negative in all patients. Ou
r findings confirm that MRI can detect cerebral fat embolism with a higher
sensitivity than CCT. Thus, MRI should be the first choice for imaging of c
erebral fat embolism.