 Good afternoon everyone. I am Dr. Neetu Singh Yadav, DNB first year resident in the Department of Radio Diagnosis at Civil Hospital, Sanjkula. I will be presenting the spectrum of MRI findings in Jhupad syndrome. The aim is to understand the spectrum of MRI findings in Jhupad syndrome and the objective is to illustrate the findings in this case and to correlate the findings with clinical status of the patient. Jhupad syndrome is a rare autosomal resulsive disorder. It is also known as Wormian eplacea or molar tooth midbrain hindrain malformation. The prevalence is approximately 1 in 1 lakh and when it is associated with anomalies in other organs like eyes, liver and kidneys, it is called as Jhupad syndrome and related disorder. This case was turned in the Department of Radio Diagnosis at Civil Hospital, Sanjkula with 1.5 Tesla MRI equipment. In found consent in detailed history was recorded prior to imaging. The child was a 2 years old male and was referred by pediatrician for non-contrast MRI with the chief complaints of atexia in ability to stand or walk and global developmental deal. The imaging findings included on axial T2-weighted image, there was abnormal configuration of midbrain with elongated, thickened and horizontally oriented superior cerebellar pedencles and a deepened intrepidicular posa resulting in molar tooth sign. On axial and flare, on axial flare and axial T2-weighted images, the 4th ventricles appeared enlarged and short badminton configuration. On axial T2-weighted imaging, hyperplasia of cerebellar vermus is noted. Jhupad syndrome affects the brainstem and cerebellum. There is a genesis or disgenesis of the vermus of the cerebellum. The clinical presentation includes atexia, the stagmus, developmental delay, hypotonia, episodic hyperepnea and dysmorphic disease. The associations include retinal coloboma, retinal dystopia, tongue protrusion, multi-cystic kidney disease and polytexamine. These are the references of my teeth.