Ex 39 weeks 2 days, one day old female, with history of intrauterine fetal demise of unknown etiology, diagnosed with fetal right and left hydronephrosis with duplicated collecting system and intrauterine growth retardation. Congenital musculoskeletal deformities of the skull, face and jaw. Asymmetry of the mouth while crying. Evaluation is mildly limited due to motion artifact. There are foci of susceptibility effect in the bilateral caudothalamic grooves, with slight extension along the centrum semiovale on the left side. There is trace extra-axial sheet-like T2 and T1 hyperintensity along the right posterior occipital convexity. There is no restricted diffusion to suggest acute ischemia. There is no intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. There appears to be mild T1 hyperintensity in the white matter of the perirolandic regions bilaterally, although to a lesser extent than might be expected. The corpus callosum appears to be intact. The pituitary gland is unremarkable. There is no midline shift or herniation. The major cerebral flow-voids are preserved. The orbits, skull, paranasal sinuses are grossly unremarkable. There is a posterior parietal subgaleal fluid collection that measures up to 3 mm in thickness.
1. Stigmata of presumable bilateral germinal matrix hemorrhages, left larger than right. 2. The degree of myelination in the perirolandic region may be slightly delayed. 3. Expected birth-related findings, including mild posterior scalp subgaleal fluid and apparent trace posterior occipital convexity subdural hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.