4 day old 36 week gestation with history of respiratory distress and neurologic deficits after cooling protocol. Evaluate for evidence of hypoxic ischemic encephalopathy. There is no restricted diffusion involving the brain parenchyma or signal abnormality in the cortex or basal ganglia to suggest ischemic injury. Myelination appears appropriate for patient's age of 36 weeks. No focal parenchymal signal abnormalities in the brain are appreciated. No evidence of hemorrhage, intracranial mass, or mass effect. Midline structures including the corpus callosum and posterior fossa appear within normal limits. The ventricles and basal cisterns are normal in size and configuration. The expected intracranial vascular flow voids are present. There is a small parieto-occipital caput succedaneum.
No findings to suggest hypoxic-ischemic injury are definitively appreciated. If there remains high suspicion for ischemic injury, follow-up study may be helpful.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.