Low pH at birth, ex 33 week premie. There is high T1 and low T2 signal hemorrhage within the bilateral lateral ventricles, third ventricle, and within the posterior fossa extra-axial spaces. There also appears to be susceptibility effect that localizes to the caudothalamic grooves, right greater than left. There is no evidence of mass or acute infarct. There is a paucity of myelination, which is likely attributable to prematurity. There is mild prominence of the subarachnoid spaces overlying the bilateral anterior temporal poles. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Subacute intraventricular hemorrhage, likely related to bilateral germinal matrix hemorrhages, and hemorrhage within the posterior fossa extra-axial spaces, but no evidence of ventriculomegaly.