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Diffusion-weighted imaging (DWI) and corresponding apparent diffusion coefficient (ADC) maps have become routine magnetic resonance imaging (MRI) sequences. In children one of the major uses of DWI is in neonates with perinatal hypoxic ischaemic injury. Premature patients with hypoxic events, however, are also susceptible to intracranial haemorrhage. It is useful to be aware of the signal changes of the different stages of haemorrhage on DWI. Our patient was born post term via caesarian section because of fetal heart rate abnormalities. He had a low birth weight and meconium at delivery. Initially he was hypertonic with hypotonia in the subsequent stages after birth. MRI was performed at 9 days. There was a haematoma adjacent to the left trigone which was hyperintense on T1 (Fig. 1), hypointense on T2 (Fig. 2). It showed ‘blackout’

Intracranial haemorrhage and the phenomenon of 'T2-blackout'