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Figure 8d. Deep gray matter injury in a preterm (34 weeks gestation) infant who was delivered emergently because of fetal bradycardia and who developed severe hypotension. (a, b) Initial coronal (a) and sagittal (b) cranial US scans show diffuse hyperechogenicity, loss of deep gray matter definition (*), and left ventricular effacement. (c, d) Follow-up coronal cranial US scan (c) shows residual increased echogenicity (*) in the deep gray matter, with corresponding T2 hyperintensity (*) on the axial T2-weighted MR image (d), findings consistent with parenchymal hemorrhage.