Posterior reversible encephalopathy syndrome in acute pancreatitis: a rare stroke mimic.

We report a 71-year-old woman who presented with Posterior Reversible Encephalopathy Syndrome (PRES) in the setting of acute pancreatitis. On day 3 of her admission, she developed transient right-sided upper and lower limb weakness, reduced visual acuity and encephalopathy, initially regarded as an acute stroke. Brain MRI fluid-attenuated inversion recovery (FLAIR) T2 imaging performed the same day confirmed occipital and parietal hyperdensities consistent with PRES. Her blood pressure never exceeded 150/75 mm Hg throughout the course of the admission. Our case demonstrates PRES in the setting of acute pancreatitis with only a relatively moderate elevation in blood pressure. In order to prevent unnecessary intervention in the setting of presumed acute stroke, it is important to consider the potential differential diagnoses including PRES as rare masquerade of acute stroke or transient ischaemic attack.

Thigh burn - A magnetic resonance imaging (MRI) related adverse event.

Burns are an unexpected adverse event of magnetic resonance imaging (MRI). We present an interesting case of a patient who underwent an MRI and suffered a second degree burn to their inner thighs thought to be caused by the creation of a "tissue-loop." It is important that clinicians and technicians are aware of this adverse event to help prevent further occurrences in this commonly used imaging modality.