Hypoxic brain injury. Delivered at 39.4 weeks gestation via emergent C-section secondary to cord prolapse. Intubated at ~7 minutes of age secondary to irregular respirations. Started on cooling protocol on 8/12/2015. There appears to be a punctate focus of T2 hyperintensity and what appears to be slightly restricted diffusion in the left globus pallidus. Otherwise, there is intact T1 hyperintense signal within the posterior limbs of the internal capsules bilaterally. The cortical ribbon also appears to be intact throughout. There is a hyperintense signal in the posterior pituitary gland, which is normal in neonates. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage. There is mild swelling of the left scalp.
A punctate focus of T2 hyperintensity and apparent slightly restricted diffusion in the left globus pallidus may represent stigmata of hypoxia ischemic injury. 