Carbon monoxide poisoning with an atypical presentation on MRI: Case report and literature review

•Acute carbon monoxide poisoning can present with altered mentation, loss of consciousness, and other symptoms.•MRI is also crucial in detecting hypoxic-ischemic encephalopathy due to CO poisoning and has established superiority over CT scans.•MRI should be included as a diagnostic workup for suspected CO poisoning patients to evaluate hypoxic-ischemic encephalopathy. This will not only aid in the correct diagnosis but will also help in guiding the correct management of the patients.