Neuroimaging in SSD typically shows which finding?

• A. Clear organic pathology
• B. Structural brain lesions
• C. No brain changes ever observed
• D. No consistent organic pathology; some altered functional connectivity in pain/attention networks, but findings are not diagnostic

Answer: (D)

In somatic symptom disorder, neuroimaging does not reveal a consistent organic brain abnormality. Structural scans are typically normal, and there isn’t a single brain lesion that defines the condition. Some studies note altered functional connectivity in networks involved in pain processing, attention, and salience, but these findings are variable and not specific enough to diagnose SSD. So, there is no reliable organic pathology, though occasional functional differences may appear without being diagnostic.