Chest compression on delivery and use of the cooling protocol. Concern for hypoxic ischemic encephalopathy. There is no evidence of intracranial hemorrhage or acute infarct. The brain parenchyma appears unremarkable. The degree of myelination pattern is normal for a term neonate. The midline structures and craniocervical junction are within normal limits. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits and skull are grossly unremarkable. There is a small amount of left parietal subgaleal fluid.
No evidence of acute hypoxic-ischemic injury.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.