Fazekas scores
Deep White Matter Fazekas
1 → “1-hit wonder”
Punctate foci — just tiny spots, like little dots.
2 → “2 = two-gether”
Beginning confluence of foci — two dots coming together, mild merging.
3 → “3 is a crowd”
Large, confluent areas — everything blending into a mess, too much white.
Periventricular Fazekas
1 → “1 is a pencil”
✏️ Pencil looks a number 1 (pencil-thin “cap” or rim along ventricle).
2 → “2 curves into a halo”
⭕ Smooth halo of hyperintensity — picture the roundness of 2 encircling the ventricle.
3 → “3 branches out”
🌿 Irregular fingers of white matter reaching into the deep — the edge of the number 3 look like irregular finger
