Lentiform fork sign (basal ganglia)

Last revised by Sze Yuen Lee on 14 Mar 2023

The lentiform fork sign has been described on MRI and is seen as bilateral symmetrical hyperintensities in the basal ganglia surrounded by a hyperintense rim delineating the lentiform nucleus.

It has been postulated to result from metabolic acidosis due to any cause 1, e.g. end stage renal disease.

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