Alcohol Related Upper Vermis Atrophy

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50 years old male with known chronic alcohol abuse. CT showing marked atrophy in the upper vermis. This is a common finding in chronic alcohol abuse. However pay attention when examining the vermis in the sagittal plane as in the midline its appearance might be misleading and mimic atrophy. Therefore examine vermis in parasagittal as well as coronal and axial planes for definite diagnosis.

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