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PURPOSE Despite considerable published information about the clinical-radiological correlation of medullary infarcts, no study has determined whether topographic evaluations are performed accurately among researchers. Our purpose in this study was twofold to evaluate the topographic pattern of medullary infarcts on diffusion-weighted imaging by their radiological aspect, and to assess interobserver agreement on the topographic pattern. METHODS We retrospectively reviewed our imaging and clinical database for patients admitted to our radi