Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Jun 12, 2012.
What's your diagnosis?
I'll post the correct answer in a couple of days!
ischaemic changes in periventricular white matter is seen...also there is focal hyperintensities in deep white matter that may be lacunar infarcts.
There is brain atrophy - involution of the brain with hypertense of inner part of brain __ the plaques or lesions)) ----- multiple sclerosis MS ....
Yes, it's MS.
In this case, the characteristic 'Dawson fingers' are clearly visible; these are the white-matter lesions expanding next to (and from within) the periventricular veins. There's also brain atrophy present, indicating the disease has been present for some time already.
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