Central sulcus hemorrhage in an elderly patient may occur without an obvious etiology like hypertension or trauma. This may be attributed to cerebral amyloid angiopathy. We report a case of a patient who presented clinically with recurrent transient ischemic attacks, had isolated central sulcus hemorrhage on computed tomography head and was finally found to have numerous unforeseen hemorrhages on gradient recalled echo (GRE) sequence, both cortical and subcortical. This lead to a diagnosis of cerebral amyloid angiopathy in this patient.