Ventriculomegaly, 24 weeker with history of RDS, pseudomonas pneumonia and E coli, now with increased ventilator settings over the last week. There is diffuse susceptibility effect and T2 hyperintensity along the margins of the bilateral lateral ventricles, which are diffusely enlarged. There is also a subcentimeter area of encephalomalacia in the right parietal lobe periventricular region. The degree of myelination in the bilateral cerebral hemispheres is likely slightly delayed, even accounting for prematurity. There is no evidence of intracranial tumor or acute infarction. 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.
Findings compatible with post-hemorrhagic periventricular leukomalacia with porencephalic cyst formation and cerebral volume loss.