Female, 7 months old, submersion injury. Posturing on arrival. Assess for signs of anoxic injury. Bilateral and symmetric linear areas of mildly restricted diffusion are seen at the junction of the medial globus pallidus and posterior limb of the internal capsule.No other areas of restricted diffusion or other parenchymal signal abnormality are detected. Brain morphology is within normal limits. The pattern of white matter myelination is appropriate for age.The pituitary region is unremarkable. The corpus callosum is fully formed and intact. The brainstem, cerebellar vermis and cerebellar hemispheres are within normal limits.No evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. The ventricular system is normal in size and morphology.
1.Findings suggestive of small areas of ischemic injury involving the junction of the globus pallidus and posterior limb of the internal capsule bilaterally.2.The remainder of the examination is unremarkable.