 The corpus callosum is diffusely atrophic and the lateral ventricles are symmetrically enlarged suggesting periventricular leukomalacia. There is a 14 x 11mm porencephalic cyst in the white matter deep immediately adjacent to the body of the left lateral ventricle and approximately 6 x 5 mm paraventricular porencephalic cyst near the frontal horn of the right lateral ventricle. Increased FLAIR signal seen around the CSF spaces is suggestive of gliosis. Punctate areas of susceptibility artifact are noted in the occipital horns and walls of the lateral ventricles and in the right choroid plexus. There is no mass or mass effect. There is no diffusion abnormality to suspect acute stroke. The basal cisterns remain patent. Normal flow-voids are demonstrated in the major intracranial vascular structures. The craniocervical junction is normal. The orbits are unremarkable. There is mucosal thickening in the maxillary sinuses. The adenoids are enlarged with partial effacement of the nasopharyngeal airway.
Periventricular leukomalacia with associated porencephalic cysts and staining of the lateral ventricles suggestive of remote injury involving intraventricular hemorrhage. 