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Whereas some bilinguals have one language that is dominant, others attain high proficiency in both languages. This variation is likely explained by a combination of environmental and genetic factors; however, there is a lapse in research on the neural underpinnings of bilingual proficiency. No study to date has examined how highly proficient bilingualism that is balanced relates to brain morphology in adults. Our present study analyzed the brains of 200 Spanish-English bilingual adults. Bilingual proficiency was measured and weighted by