 No intracranial mass or mass effect. No evidence of infarct or hemorrhage. No extra-axial collections. No hydrocephalus. Sulcation and myelination are within normal limits. Midline structures including the corpus callosum are within normal limits. Bilateral hippocampi are symmetric in size and signal characteristics with preserved internal architecture. No findings to suggest cortical dysplasia, gray matter heterotopia, or other abnormalities to suggest seizure focus are appreciated. Major flow-voids are preserved. Cerebellar tonsils are in normal position without evidence of Chiari malformation, as questioned. CSF flow sequence demonstrates good biphasic flow at the foramen magnum ventrally and dorsally.CERVICAL SPINE
1. MRI of the brain is within normal limits. No findings to suggest seizure focus. Cerebellar tonsils are in normal position without evidence of Chiari malformation.2. Unremarkable exam of the spine with no evidence of tethered cord.3. Urinary bladder is distended with prominence of the ureters and renal collecting system. Findings are nonspecific. Correlate with post voiding ultrasound as clinically indicated.