 T2 hyperintensity is present within the periventricular white matter, confluent around the bilateral frontal horns and occipital horns, associated with a few additional punctate foci of T2 hyperintensity in the adjacent white matter. This is associated with mild bilateral colpocephaly and adjacent white matter loss.There are no findings of hydrocephalus. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain.
MRI evidence for periventricular leukomalacia as described in detail above.