Original MICA image-reading exercise, unscored. No clinical narrative absent from the source is added.
- Describe visible findings before proposing an interpretation.
- Suggest an interpretation and at least one image limitation.
- Which clinical findings or investigations would complement this observation?
Reveal the explained reading
Lesions suggestive of demyelination · MRI
- Sequences
- T2 and FLAIR
- Location
- Periventricular, cortical, infratentorial
- Morphology
- Shape and relationship to ventricles
- Diagnosis
- Clinical correlation essential
Morphological description
Describe size, ovoid shape, ventricular or cortical contact and infratentorial lesions; distinguish contact from proximity.
Causes and diagnostic direction
Typical locations and morphology support possible multiple sclerosis in an appropriate clinical context.
Differential diagnoses
Migraine, vascular disease and other inflammatory or infectious disorders may produce white-matter abnormalities.
Pitfalls and limitations
A single image establishes neither dissemination nor diagnosis; apply the current diagnostic framework.
Take-home message
Describe lesions and location before applying diagnostic criteria with clinical findings.
Sources
- Assessment of lesions on magnetic resonance imaging in multiple sclerosis: practical guidelines - PMC ↗
- Revised Recommendations of the Consortium of MS Centers Task Force for a Standardized MRI Protocol and Clinical Guidelines for the Diagnosis and Follow-Up of Multiple Sclerosis - PMC ↗
Documentary review: 2026-10-12
Media source & rights
- Author
- James Heilman, MD
- Original source
- James Heilman, MD, MSMRI.png, CC BY-SA 4.0, Wikimedia Commons; conversion WebP et réduction proportionnelle.
- Licence
- CC BY-SA 4.0
- Changes
- Conversion WebP, redimensionnement proportionnel sans recadrage ni annotations ajoutées; EXIF retiré. Dérivé écran proportionnel ≤1280 px, WebP qualité76 ; vignette ≤320 px qualité72. Source acquise et dérivé initial conservés sans modification ; aucune retouche médicale, aucun recadrage.
- Dimensions
- 960 × 1196 px
- Check
- 2026-10-11T20:53:29.376525+00:00