3-year-old male with macrocephaly, speech delay, hypotonia; reported history of head injury in infancy and positive maternal syphilis. Assess myelination and reported history of cyst. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears unremarkable, including what may represent faint terminal zones of myelination in the parietal regions bilaterally. 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 orbits, paranasal sinuses, and scalp soft tissues are grossly unremarkable. The cranial vault appears to be larger than usual, consistent with the reported macrocephaly.
No evidence of structural or myelination abnormalities. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.