5-year-old female status post VP shunt and subdural shunts. No evidence of acute intracranial abnormality, including no hemorrhage or midline shift.Interval removal of right frontal subdural catheter. Remaining bilateral subdural catheters and ventriculostomy catheter appear unchanged. Bilateral subdural collections are unchanged in size, with decrease in amount of gas in the left subdural collection.Mild interval decrease in size of common lateral ventricular chamber, which now measures approximately 6.7 cm in transverse dimension, previously measured 7.5 cm. Abnormal morphology of ventricles is unchanged.Stable displacement of cerebellar tonsils below foramen magnum by 9 mm, previously this measured 9 mm.Persistent abnormal morphology of brain parenchyma consistent with severe periventricular leukomalacia and areas of porencephaly in superior frontal and right occipital lobes, as described on recent MRI. Persistent abnormal morphology of the calvarium and burr holes noted. The visualized paranasal sinuses and mastoid air cells unremarkable.
1.No acute intracranial abnormality.2.Mild interval decrease in ventricular size.3.Interval removal of right subdural catheter, without significant change in bilateral subdural collections size.4.Stable Chiari I malformation.5.Stable abnormal morphology of brain parenchyma and calvarium.