Torticollis and plagiocephaly, not making progress with helmet and irritable. Brain: There is mild plagiocephaly. There is slight prominence of the bilateral frontal convexity extra-axial CSF spaces. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is a normal degree of myelination. 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 paranasal sinuses, and scalp soft tissues are grossly unremarkable.Cervical Spine: There is no evidence of rotatory subluxation or spondylolisthesis. 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. There appears to be mild asymmetry of the sternocleidomastoid muscle thickness without altered signal characteristics. There are prominent suprahyoid lymph nodes bilaterally. The paravertebral soft tissues are otherwise unremarkable.
1. Mild plagiocephaly, but no evidence of acute intracranial mass.2. Apparent mild asymmetric thickness of the sternocleidomastoid muscles may be due to torticollis, but no evidence of rotatory subluxation or spondylolisthesis in the cervical spine. 3. Prominent suprahyoid lymph nodes can be a normal feature for age. However, ultrasound may be useful for further evaluation if clinically warranted.