Male, 6 months old. Reason: Rickets, multiple fractures, sub dural , hydrocephalus, 2 month follow up MRI evaluate for changes History: 2 month follow up MRI evaluate for changes The previously seen numerous scattered foci of susceptibility are less conspicuous on this exam compared to the prior study dated 06/24/2015. Specifically, a focus in the left temporal lobe is decreased in size from prior, and additional foci in the left anterior frontal lobe, right anterior temporal lobe, bilateral occipital lobes, and along the left cerebellar vermis are no longer clearly seen. More tubular areas of susceptibility along the right parietal lobe are also significantly decreased in prominence from prior.The previously seen small bilateral frontal subdural hematomas are essentially resolved, with minimal residual prominence of the extra-axial spaces. There is no evidence of new intracranial hemorrhage and no new abnormal extra-axial fluid collection. The ventricles, cisterns, and sulci are normal in size and configuration. There is no midline shift or mass effect. There is no evidence of acute infarct. There is decreased opacification of the paranasal sinuses, bilateral mastoid air cells, and middle ears. The orbits are unremarkable.
1. The previously seen bilateral subdural hematomas are essentially resolved, with minimal residual prominence of the extra-axial spaces.2. Significant interval improvement in scattered areas of susceptibility without evidence of new intracranial hemorrhage.