Trauma. The ventricles and basal cisterns are normal in size and configuration. The gray-white matter differentiation is preserved. There is subtle hypoattenuation seen in the subcortical and deep white matter of the superior frontal gyri subcortical white matter and possible expansion of the gyrus. This is unusual for a patient of this age and further assessment with an MRI is advised.There is no mass-effect or midline shift, intra-extra axial fluid collection, or acute hemorrhage.The calvaria and skull base appear normal, no evidence of a skull fracture or diastases of the calvarial sutures. No pneumocephalus.The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. No acute intracranial abnormality.2. Subtle low attenuation in the in the high convexity bifrontal deep white matter unlikely traumatic and may represent congenital leukomalacia, further assessment with MRI may be helpful.