MPS MRI

MRI study of brain reveals:
Diffuse cerebral cortical atrophy.
Enlarged Peri vascular spaces involving bilateral Cingulate gyri, corpus callosum.
Diffuse thickening of bony calvarium.
J shaped Sella.

MRI study of Spine reveals:
Bullet-shaped vertebra at multiple levels.
Dorsal dermal sinus in sacral region extending towards S4 without fusion or segmentation anomaly. No obvious cord tethering.
Spleen 10 cm, moderate splenomegaly.
Liver 12 cmM mild to moderate hepatomegaly.

Possibility of Mucopolysaccharidosis suggested for further clinical evaluation.