The set of cranial MRIs shown here are from a young woman with a known history of relapsing-remitting multiple sclerosis. In the first scan (T2W axial cut), we can see multiple T2 hyperintense lesions involving bilateral cerebral cortices (Figure 1). These lesions are noted to be of a juxta-cortical and also peri-ventricular distribution, which are classical of multiple sclerosis. In the next scan (FLAIR sequence, coronal cut, Figure 2), additional hyperintense lesions could be seen at the juxta-cortical region of the right parietal lobe as well as at the left pons . The right parietal lesion is noted to be contrast enhancing in the final scan which is a T1W sequence with contrast (Figure 3). The patient had presence of oligoclonal bands in the cerebrospinal fluid and is currently on β-interferon for prevention of relapses.
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Tagged with: Demyelinating disease Multiple sclerosis