Correct!
3. Fat embolism syndrome
Correct!
4. 1 and 3
The cause for her non-responsiveness is unclear. Neurology was consulted and suggested an MRI of the brain which is below. Compared to CT scanning MRI has a much greater range of available soft tissue contrast, depicts anatomy in greater detail, and is more sensitive and specific for abnormalities within the brain itself.
Figure 1. Selected T2 weighted images from a brain MRI on hospital day 3.
What unifying diagnosis can explain these findings? (Click on the correct answer to be directed to the third of six pages)