2-year-old male with oral aversion and vomiting. Evaluate for brainstem or posterior fossa lesion. There are scattered areas of periventricular white matter T2 hyperintensity, left more than right. There is otherwise a normal degree of myelination and the brainstem and cerebellum are unremarkable, however. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The corpus callosum is fully formed and intact. The brainstem and cerebellum are normal in appearance. The ventricles and basal cisterns are normal in size and configuration, albeit the left lateral ventricle is larger than the right. There is no midline shift or herniation. The major cerebral flow voids are intact. There is scattered mucosal thickening of the ethmoid air cells, right sphenoid sinus and right maxillary sinus. The orbits, skull and scalp soft tissues are grossly unremarkable.
Scattered areas of periventricular white matter T2 hyperintensity, left more than right, are nonspecific. Differential considerations include prior ischemia or infection in addition to terminal zones of myelination. The brainstem and cerebellum are unremarkable, however. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.