Difficulty walking. Cerebral palsy, diplegic. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is diffuse paucity of periventricular white matter in the bilateral cerebral hemispheres, particularly posteriorly, with corresponding marked thinning of the posterior corpus callosum and prominence of the posterior lateral ventricles. In addition, there is associated generalized diminished white matter volume extending more peripherally into the posterior cerebral hemispheres, resulting in relatively prominent sulci. There is also diffuse T2 hyperintensity in the periventricular white matter bilaterally. The basal cisterns are normal in size and configuration. There is no midline shift or herniation. The posterior fossa contents are unremarkable. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is mild mucosal thickening of the maxillary and ethmoid sinuses.
Findings compatible with periventricular leukomalacia.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.