Uveitis MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]

Overview

There are no diagnostic MRI findings associated with uveitis. The presence of certain MRI findings, in the presence of uveitis, may be suggestive of specific underlying causes such as sarcoidosis, multiple sclerosis, Behcet's disease, syphilis, and joint abnormalities in seronegative spondyloarthropathies.

MRI

There are no diagnostic MRI findings associated with uveitis. The presence of certain MRI findings, in the presence of uveitis, may be suggestive of specific underlying causes such as:

Sarcoidosis

The following MRI findings are suggestive of neurosarcoidosis:

• Hypointense lesions adjacent to grey matter
• Homogeneous enhancement and meningeal thickening (in meningeal involvement)

Multiple Sclerosis

The following MRI findings are suggestive of multiple sclerosis:

• Hypointense periventricular, juxtacortical, or infratentorial lesions on T1 imaging
• Hyperintense periventricular, juxtacortical, or infratentorial lesions on T2 imaging

Behcet's Disease

The following MRI findings are suggestive of neurological manifestations of Behcet's disease:

• Hypointense T1 lesions in the brainstem, basal ganglia, or thalamus
• Hyperintense T2 lesions in the brainstem, basal ganglia, or thalamus
• focal or multifocal lesions, cerebral vein thrombosis

Neurosyphilis

The following MRI findings are suggestive of neurological manifestations of syphilis:

• Longitudinal hypointense T2 weighted images in the dorsal column of the spinal cord in tabes dorsalis

Seronegative Spondyloarthropathies

The following MRI findings are suggestive of joint abnormalities in seronegative spondyloarthropathies:

• Synovial enhancement
• Hyperintense T2 signal
• Bone erosions and subchondral bone changes