Both mesial temporal lobes demonstrate an increased signal on T2 and FLAIR with restricted diffusion extending along the hippocampal head, body and tail with involvement of the parahippocampal gyrus, collateral and insular cortices (island of Reil) bilaterally more pronounced on the left with no enhancement. Two areas of subacute haemorrhage are seen in the anterior cingulate gyrus and left amygdala.