Multiple system atrophy (MSA-P)
Recurrent falls on background of idiopathic Parkinson's disease.
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Reversal of the expected magnetic susceptibility pattern within the basal ganglia with more prominent T2* hypointensity within the putamen than the globus pallidus. There is also subtle corresponding decreased T2 signal within the putamen relative to the globus pallidus, and a linear rim of high T2 / FLAIR signal.
Findings and clinical setting are consistent with multiple system atrophy with predominant parkinsonian signs and symptoms (MSA-P).