Known case of Addisons disease, with headache and blurred vision .
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MRI reveals bilateral symmetrical changes in deep white matter of both tempero-parieto- occipital regions, periventricular regions posteriorly and splenium of corpus callosum. appear hypointensite in T1W and hyperintensite in T2W and FLAIR sequences. Show no restericted diffusion.
Also slightly involving anterior midbrain.
Addison disease with brain demyelinating changes around atria of both lateral ventricles and posterior aspect of corpus callosum giving characteristic features of adrenoleukodystrohy.