Full term infant. Respiratory insufficiency and abnormal involuntary movements. Evaluate for infarct. There is minimal T1-hyperintense, T2-hypointense material layering in the posterior horns of the lateral ventricles consistent with blood products as there is prominent susceptibility. There is a similar intensity subdural hemorrhage posteromedially in the the posterior fossa, more pronounced on the right with a maximum thickness of 4 mm, without resultant mass effect on the brain. Trace subdural blood products are also identified along the tentorium cerebelli and posterior falx. All of these show susceptibility artifact.A 3 mm but somewhat elongated focus of T1-hyperintense, T2-hypointense signal in the left parietal periventricular white-matter without susceptibility artifact may represent sequela of prior insult. The brain parenchyma otherwise shows no significant abnormality. Myelination is appropriate for age. There is no mass effect or midline shift. The ventricles and the other CSF-containing spaces are normal in size.Mild diffuse T2 hyperintensity throughout the scalp especially near the vertex likely reflects residual caput succedaneum. Scalp swelling is slightly more focal in the right parieto-occipital scalp and may represent minimal subgaleal effusion. There is no displaced skull fracture.
1.Minimal intraventricular hemorrhage without hydrocephalus.2.Minimal posterior fossa subdural blood products without mass effect on the brain, likely birth related.3.Minimal intraparenchymal left parietal hemorrhage.4.Mild caput succedaneum and probable small right parieto-occipital subgaleal effusion.