Lower T sign (central sulcus)

Last revised by Henry Knipe on 13 Jan 2025

The lower T sign can be useful in identifying the central sulcus on cross-sectional imaging. It relies on identifying the inferior frontal sulcus, which intersects with the precentral sulcus in a "T" junction, thus defining the precentral gyrus. The central sulcus is the next posterior sulcus.

It should be distinguished from the upper T sign, which is the confluence of the superior frontal sulcus with the precentral sulcus. 

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