Fig. 4

Multisystem atrophy-cerebellar variant (MSA-C). A 79-year-old female with a two-year history of urinary incontinence, ataxia, rigidity, generalized atrophy and cognitive decline. a axial T2 W section of the posterior fossa shows atrophy of bilateral brachium pontis with hyperintense signal changes (white arrows). b axial T2W image at the level of pons demonstrates typical hot cross bun sign (white circle) and significant atrophy and T2W hyperintensity in bilateral cerebellar hemispheres (white dashed arrows). c midline sagittal T2W image of brain is showing atrophy of pons mostly on the anterior aspect (short white arrow)