TAPVR repair. 15q11.2 deletion, 2p25.1 duplication, and 16q11.2 duplication. There is no evidence of acute infarct or gross structural abnormalities of the brain. There is a punctate focus of susceptibility effect in th right temporal lobe. Otherwise, the brain parenchyma and pituitary gland appear unremarkable. There is a normal degree of myelination. There is mild asymmetry of the temporal horns. The ventricles and basal cisterns are otherwise normal in size and 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.
A punctate focus of susceptibility effect in the right temporal lobe may represent previous hemorrhage. Otherwise, no gross structural abnormalities of the brain are evident.