Cystic plaques in multiple sclerosis
Follow up MRI. Known multiple sclerosis.
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MRI shows multiple white matter / corpus callosal / callososeptal hyperintense plaques (T2 and FLAIR) in this patient with multiple sclerosis. Some of these are iso-intense to CSF and hypointense on T1 & FLAIR, compatible with cystic changes (left cerebral hemisphere) in chronic MS lesions.
Necrosis and atrophy with cystic changes are common in chronic MS lesions, as shown here.
- Michael Brant-Zawadzki, E. Jane Cambray, William G. Bradley. MRI of the Brain 2, p. 93.