Developmental delay and epilepsy. Complicated birth history, born via C-section due to breech where mother's heart rate and blood pressure dropped and baby heart rate was non reassuring. The baby was born breech and with cyanosis. There is volume loss and high T2 signal involving the hippocampi and the deep gray nuclei bilaterally. There are scattered areas of high T2 signal in the cerebral white matter bilaterally. There is a diffuse background of mild cerebral volume loss, with thinning of the corpus callosum. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is mild nonspecific mucosal thickening in the paranasal sinuses.
Findings suggestive of perinatal hypoxic-ischemic injury in a central and peripheral pattern with associated diffuse cerebral volume loss.