Ex-25 5/6 week preemie, subglottic stenosis status post dilatation x 2, concern for vocal cord dysfunction. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. However, there appears to be delayed myelination, with the paucity of the expected degree of T1 hyperintensity in the anterior limbs of the internal capsules and posterior corpus callosum, for example. The ventricles and basal cisterns are normal in size and configuration. 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.Cervical Spine: The larynx was not imaged in this exam. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There are areas of consolidation in the right lung, which may represent atelectasis.
1. Relative paucity of cerebral myelination likely related to prematurity, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Unremarkable cervical spine.3. The larynx was not imaged in this exam. Therefore, dedicated neck imaging may be useful for further evaluation.