Clinical question: 7-year-old ex-34 week infant with ALTE requiring CPR at home. Nonenhanced head CT:There are questionable patchy areas of cortical low-attenuation in the bilateral posterior temporal and parietal lobes which considering patient's age may not be an abnormal finding however possibility of ischemic changes cannot be entirely ruled out. Please correlate with clinical exam and follow-up with an MRI study. There is no evidence of hemorrhage, mass effect, midline shift or hydrocephalus. There is no evidence of any crowding of the fontanelles. Mastoid air cells and middle ear cavities are pneumatized and unremarkable. Calvarium is intact.
No definitive evidence of pathology. Questionable areas of low attenuation of the cortex and bilateral temporal and parietal lobes may be related to patient's premature brain however possibility of ischemic change cannot be entirely from out. Correlate with history and follow-up with an MRI.