 There is approximately 2 cm defect of the subcutaneous tissues in a left paramedian position at the vertex demonstrating some mild enhancement without MRI evidence of underlying calvarial or brain parenchymal associated abnormality.Mild flattening of the left parieto-occipital skull is most likely secondary to molding from positioning.The ventricles and sulci are normal in size. 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. Myelination is appropriate. 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.
1.There is approximately 2 cm defect of the subcutaneous tissues in a left paramedian position at the vertex demonstrating some mild enhancement without MRI evidence of underlying calvarial or brain parenchymal associated abnormality.2.Mild flattening of the left parieto-occipital skull is most likely secondary to molding from positioning.3.Findings were discussed with Dr. Sarah Stein on 4/25/2016 at approximately 10:20 AM.