Follow-up from previous MRI after whole body cooling: Perinatal depression in a full-term infant. There are small residual areas of T1 hyperintense foci of extra-axial hemorrhage along the bilateral occipital and cerebellar convexities, without mass effect. There is no evidence of acute infarct. There are small areas of high T2 and low T1 signal in the basal ganglia, left more than right. Otherwise, the previously demonstrated corresponding abnormal foci of high T1 signal in portions of the basal ganglia are no longer evident, with areas of T1 hyperintensity remaining in expected locations. The degree of myelination appears to be appropriate. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The scalp fluid collection has resolved. The orbits are grossly unremarkable.
1. Decreased subacute extra-axial hemorrhages along the posterior cerebral and cerebellar hemispheres.2. Sequale of prior probable hypoxic ischemic injury in the basal ganglia, but no evidence of acute cerebral infarction.3. Resolved caput succedaneum.