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Figure 1: Transverse T2-weighted MR image of the brain of a 60 year old female with MSA of the cerebellar-predominant subtype (MSA-c) shows the hot cross bun sign as a cruciform hyperintensity in an atrophied pons (arrow). Cerebellum and middle cerebellar peduncles (arrowheads) are also atrophied, with increased signal intensity

Figure 1: Transverse T2-weighted MR image of the brain of a 60 year old female with MSA of the cerebellar-predominant subtype (MSA-c) shows the hot cross bun sign as a cruciform hyperintensity in an atrophied pons (arrow). Cerebellum and middle cerebellar peduncles (arrowheads) are also atrophied, with increased signal intensity