Clinical question: Rule out hydrocephalus. Signs and symptoms: concern for developmental delay. Nonenhanced head CT:There is no evidence of intracranial hemorrhage, edema, mass effect or midline shift or hydrocephalus.The cortical sulci, ventricular system and midline is within normal. There is prominence of subarachnoid space with CSF density which is within normal range for patient stated age. There is no evidence of any developmental abnormality or brain parenchyma on this non-infused head CT. If clinical concern persists follow-up with an MRI is highly recommended.Calvarium is intact.Limited view of the orbits are unremarkable.
No definitive evidence of intracranial pathology for patient stated age. If there is concern for developmental delay follow-up with an MRI is recommended.