Clinical question: Assess for brain injury/insult. Signs and symptoms: 29 weeker, maternal placental percreta, low apgar, intubated. Not enhanced CT brain:Examination demonstrate a small foci of increased density at the approximately level of the body of the left caudate nucleus (axial image 16 of 28). In addition a thin linear increased density in the cortex of left posterior frontal lobe along its interhemispheric aspect (axial image 21 of 28) is also present. Neither one of these lesions can be considered definitively abnormal however considering provided clinical data and immature brain parenchyma, possibility of small hemorrhage should be considered and follow-up with ultrasound or an MRI is recommended. This examination is otherwise unremarkable for patient's stated age.Motion artifacts reduces the sensitivity of the exam significantly for detection of small possible skull fractures however no definitive evidence of fracture in this study is detected.
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