Figure 1: T2-weighted MRI Brain. Red arrow indicates area of subacute infarct in the left temporal lobe of the brain.

CT angiogram of the head and neck revealed a right posterior communicating aneurysm with arterial sclerotic plaques at the right vertebral artery. MRI of the T-spine and L-spine were positive for signal changes at L2-3, L4 -5, and L5-S1, concerning for osteomyelitis (Figure 2).