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Fig. 2 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 2

From: Diagnostic accuracy of double inversion recovery in delineation of multiple sclerosis lesions and its clinical correlation with expanded disability scoring system

Fig. 2

a T2, b FLAIR, c DIR axial brain cuts in a male patient 21 years old with history of RRMS since 2 years, presented by vertigo, diminution of vision, dysphagia, and EDSS = 4.5, shows large cortical lesion (red arrow) is seen encompassing several folia in the left cerebellar hemisphere that is identified by both T2WI (a) and DIR (c) and not seen on FLAIR image (b), with two small spot-like cortical lesions (surrounded by circle) observed in the right hemisphere, detected only by DIR (c). Another mixed white–gray matter lesion (yellow arrow) seen in the right cerebellar hemisphere which is recognized by all sequences. The arrowhead points out a lesion in the medulla oblongata which is better delineated on DIR (c), faintly detected on T2WI (a) and not visualized on FLAIR (b)

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