Developmental delay with hypotonia: difficulty walking. Brain: No structural lesions within the brain parenchyma are appreciated. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a normal degree of myelination. Asymmetric T2 hyperintensity in the left periatrial region without volume loss is likely related to incomplete myelination rather than gliosis from prior injury. The ventricles and basal cisterns are normal in size and configuration for age. 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.Spine: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The conus medullaris is normally situated at the lower L2 vertebral body level. No filar lipoma or other masses within the lumbar spinal canal are appreciated. The paravertebral soft tissues are unremarkable.
1. No structural lesions within the brain parenchyma are appreciated.2. No evidence of tethered cord.