Evaluate for periventricular leukomalacia: Right arm spasticity. Brain: There is diffuse deficiency of bilateral cerebral white matter with associated mild periventricular signal abnormality, thinning of the corpus callosum, and prominence of the lateral ventricles. The degree of myelination is otherwise age-appropriate. The pituitary gland and infratentorial structures are unremarkable. There is no evidence of acute infarction, hemorrhage, or mass lesions. There is no midline shift or herniation. The major cerebral flow voids are grossly intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Spine: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord and cauda equina nerve roots display normal signal and morphology. The conus medullaris terminates at the L1-L2 level. The paravertebral soft tissues are unremarkable.
1. Findings compatible with periventricular leukomalacia.2. The spine appears to be unremarkable.