These MRI images depict the brain (top) and spinal cord (bottom) of a patient with multiple sclerosis of 10 years duration who recently transitioned from a relapsing-remitting to a secondary progressive course. The fluid-attenuated inversion recovery (FLAIR) imaging of the brain shows confluent disease typical for MS, with periventricular and juxtacortical lesions. The spinal MRI shows a lesion in the cervical cord, which is commonly seen in MS.
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