Multiple sclerosis

Case contributed by Frank Gaillard
Diagnosis certain


Long medical history of intermittent neurology.

Patient Data

Age: Adult
Gender: Female

Multiple T2 bright white matter lesions are predominantly periventricular, aligned along perimedullary veins. On sagittal imaging the so-called 'Dawson's fingers' are evident. A lesion in the right frontal lobe demonstrates restricted diffusion and enhancement representing current activity. U-fiber involvement of the medial aspect of the right superior frontal gyrus.

Figure 1: Images at (roughly) same level demonstrating matching signal abnormality of an acute plaque.

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.