ACMT Toxicology Visual Pearls: Abnormal Brain Imaging

MR imaging multifocal infarcts

An 85 year-old man presented with coma after ingestion of a household product. Two key axial views of his brain MRI are shown. Which of the following did he ingest?

  1. Apple cider vinegar
  2. Bleach
  3. Drain cleaner
  4. Ethylene glycol
  5. Hydrogen peroxide