Female, 3 months old, ex 25 and 5/7 weeks preemie, history of spiking some EEG and poor head growth. Assess for periventricular leukomalacia. Within the limitations of motion artifact, the following observations are made.The degree of parenchymal gyration and the pattern of white matter myelination are appropriate for adjusted gestational age of approximately 0-1 month. The corpus callosum appears to be intact and fully formed. The pituitary region is probably within normal limits. The brainstem, cerebellar vermis and cerebellar hemispheres are unremarkable.No evidence of any focal parenchymal signal abnormality is seen. No restricted diffusion or parenchymal edema is detected. No evidence of significant intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. The left ventricular atrium is slightly larger than the right but without any additional evidence of parenchymal injury in this location.Findings compatible with a cleft palate are seen. The calvarium is otherwise unremarkable.
1. The appearance of the brain is appropriate for the adjusted gestational age.2. No definite evidence of periventricular leukomalacia or any other focal parenchymal lesion is seen. Slight asymmetric prominence of the left ventricular atrium relative to the right may simply represent a normal variation.3. Cleft palate.