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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 2 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 2

From: The diagnostic value of MR spectroscopy versus DWI-MRI in therapeutic planning of suspicious multi-centric cerebral lesions

Fig. 2

“A 33-year-old female patient” MRI exam revealed multiple well-defined abnormal signal intensity foci scattered at the white matter of both cerebral hemispheres and posterior fossa that exhibit iso-hypointense signal at T1 (a) and hyperintense at 3D Gr and FLAIR (b, c) with no associated edema. DWI and ADC map (d, e) showed mixed diffusion changes (restriction/T2 shin effect). Post Gad (f) showed no contrast enhancement. MRS (g) revealed no significant metabolic changes with maintained ratios at the lesional and pre-lesional areas. MRI diagnosis: multiple sclerosis. Clinical diagnosis and follow-up: MS

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