Fat embolism

Case:
# 6348701259
Section:
Author(s):

Nuñez Gomez, Ramon  MD.

Figueroa, Ramon MD,

Augusta University. Augusta, GA 30912 USA

Patient:
Female, 18 year(s)

CLINICAL HISTORY

18 years old male with multiple bone fractures including head trauma


IMAGING FINDINGS

Examination demonstrates multiple punctate form diffusion signal
abnormality lesions in bilateral cerebellar hemispheres, left worse
than right bilateral cerebellar peduncles, midbrain, upper vermis as
well as bilateral thalami, basal ganglia and hemispheric subcortical
and cortical distributions in keeping with multiple embolic lesions.
Susceptibility weighted images demonstrate punctate form scattered too
numerous to count susceptibility signal loss lesions without blooming
effects matching the distribution of the diffusion signal abnormality
lesions. FLAIR and T2-weighted images demonstrate hyperintense
behavior in the same distributions. T1-weighted images demonstrate few
 of the lesions demonstrating hyperintense behavior. Imaging findings of concern for diffuse fat embolism, which may correlate with
tubular bone fractures with associated bone marrow fat embolism.

IMAGES