Ex-31 week female with history of Intrauterine drug exposure (cocaine) and recent ALTE x 4 of unknown origin, although reflux is a consideration. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. However, there appears to be a paucity of myelination, with minimal T1 hyperintensity extending beyond portions of the brainstem, medial cerebellar hemispheres, posterior limbs of the internal capsules and portions of the perirolandic regions. There is also diffuse paucity of white matter bulk, most conspicuously manifesting as a thin corpus callosum. The ventricles otherwise display a normal 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. The reported right cheek hemangioma is not readily discernible.Spine: 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 conus medullaris is positioned at the L1 level. There is a linear skin indentation near the midline overlying the sacrum without communication with the spine.
1. Apparent delayed myelination even accounting for prematurity. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. No discernible spine anomalies.