Uremic encephalopathy typically presents as bilateral T2/FLAIR hyperintensities involving the basal ganglia, thalamus, midbrain, and mesial temporal lobes. Restricted diffusion may or may not be present to a varying degree, but is not characteristic of uremic encephalopathy. Enhancement is not a typical feature. lentiform fork sign is a characteristic feature of uremic encephalopathy, in which the white matter surrounding the basal ganglia - the internal and external capsules and the medullary laminae - become hyperintense on T2/FLAIR.