Hot-cross bun sign of multiple system atrophy

Case contributed by Assoc Prof Frank Gaillard

Patient Data

Age: Adult

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Selected T2 and FLAIR axial images through the pons demonstrate a prominent hot cross bun sign formed by transverse and anteroposterior high T2 signal. 

Case Discussion

Typical, albeit pronounced, hot cross bun sign in a patient with known multiple system atrophy

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.