Question 2

Questions 1-3 Refer to the Following Case:

A 45-year-old former bank executive presents to a neurologist after being discharged from a subacute inpatient facility 6 months after he received a severe closed head injury in a motor vehicle accident. He is able to ambulate independently but continues to have residual difficulties with functional use of his right hand, distractibility, disorganization, and poor longterm memory as well as irritability and anger outbursts. The patient’s anger outbursts are occasionally violent and can seem unprovoked, but they tend to be triggered by episodes where others point out information that he was told but cannot remember.


The patient’s primary care physician is asked to fill out disability paperwork that includes documentation of evidence of the diagnosis. S he asks for the neurologist’s input on explaining how the patient’s magnetic resonance imaging (MRI ) findings, described simply as showing no focal strokes or contusions, may be related to the diagnosis of traumatic brain injury (TBI). W hen reviewing the patient’s current MRI images, which of the following findings is most likely to be related to the diagnosis of TBI?