Slurred speech, stuttering, and developmental delay, as well as staring spells and confusion. There are diffusely prominent cerebellar fissures and a widened fourth ventricle. There also appears to be a mega cisterna magna. The third and lateral ventricles are otherwise normal in size. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. The extent of myelination is appropriate. 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.
Apparent mild nonspecific diffusely diminished cerebellar volume, but no evidence of mass lesions or signs of hydrocephalus.