MR findings in a case of brain dead patient are usually diffuse swelling of the cerebral gyri and cerebellar cortex, demonstrating iso-hypointense signals on T1WI, getting iso-hyperintense on T2 WI suggestive of hypoxic-ischemic brain injury, with associated tonsillar herniation, effacement of bilateral lateral ventricles and loss of normal flow voids in the intracranial portions of both internal carotid arteries. MR angio may show a paucity of intracranial vessels at/above the level of the supraclinoid portions of the bilateral internal carotid arteries.
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