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Radiology Made Easy Notes by Dr Navni Garg on Instagram: "Radiological Signs 19: WATERFALL SIGN – Neuro-Behçet Disease 🧠 Describes • A continuous, waterfall-like flow of bright signal on coronal T2/FLAIR MRI sequences. • Extends from the thalamus and/or internal capsule caudally (downwards) to the ipsilateral midbrain→ pons, sometimes reaching the medulla, following a longitudinal distribution. • Represents inflammatory involvement of brainstem parenchyma and adjacent venous structures, a chara
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🧠 ESNR Case of the Month | February 2026 Diagnosis: Neuro-Behçet Disease Clinical Presentation: A 35-year-old male presenting with acute ophthalmoplegia and right-sided hemicorporal sensory and motor deficits. Key Imaging Findings: MRI FLAIR: Mesodiencephalic junction hyperintensity displaying the “cascade sign”. Multimodal MRI: Evidence of hemorrhagic remnants (SWI), focal cytotoxic edema (DWI), and punctate enhancement (T1 C). Vascular: Arterial and venous MRA were notably normal. Diagnosis &
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