the viewer of one functional MR image to think that the ipsilateral motor cortex and the contralateral cerebellar hemisphere are responsible for hand movements (page 367). The characteristics of Parkinson’s disease are mistakenly written as akinesia, muscular rigidity, and tremor (page 428) whereas they are now commonly considered in fact to be bradykinesia, postural instability, muscle stiffness, and resting tremor. There is also an axial T2-weighted MR image of a thyroid gland whose legend claims that it demonstrates “high vascularity” but in which vascular flow-voids are absent. In many figures in the musculoskeletal section (eg, on page 1440), there are arrows without labels, leaving the reader unable to match the legends with the arrows in the figures. In a neurologic CT called “normal” there is an apparent hypointensity of the anterior limb of the internal capsule, probably representing an old lacunar infarct. Unacceptable artifacts present on this CT scan (page 385), chosen to illustrate a calcified pineal gland, make one wonder why, for such a prestigious publication like this, care was not taken to select high-quality images. The index, which is a key element of any reference text, was also found wanting. For example, the index indicates that there is a figure showing the indusium griseum, but the figure on page 412 has no labeling of that structure.

There are also more than a few subjective flaws in this book. Foremost, at 1500 pages and $229 (including the e-dition), this book is no longer the quick and inexpensive reference that Henry Gray envisioned. Too often the reader gets bogged down in details, which take the place of many clinically useful facts. For example, four and a half pages are dedicated to obliterated cardiac veins, but the text includes a far less exhaustive description of the Tetrology of Fallot. The book’s length also precludes it from being a good reference for specialists like neuroradiologists. The neuroanatomy section is 213 pages long; however, there are more than 60 pages on CNS development with interesting but less vital information than that which could have been included. While its length might put it in the precarious place of being too long for medical students and too short for specialists, it might have a good niche for general radiologists. Over the years, Gray’s Anatomy has included many illustrations of the same anatomical structures using many similar pictures where only one would have sufficed. On the other hand, there are instances where a picture would have been useful to envision the written description. Special attention should be paid to this in future editions.

It is difficult for a reviewer to find fault with an icon such as Gray’s Anatomy, but any potential buyer should be aware of flaws in this edition. Neuroradiologists would be better served by spending an equivalent amount of money on books devoted solely to the anatomy, physiology, and imaging of the central nervous system.