5-week-old male with apparent life threatening episode and reported cyanosis. Rule out bleed or skull fracture. There is no evidence of intracranial hemorrhage, mass or midline shift. Hypodensity in the subcortical white matter along the convexities and in the frontal and parietal regions bilaterally is slightly lower T1 signal than expected for unmyelinated parenchyma and could represent gliosis from prior ischemia. An MRI is recommended for better visualization of these areas, if clinically indicated.The ventricles and basal cisterns are normal in size and configuration for the patient's age.The calvaria and skull base are radiographically normal without evidence of fracture.
Subcortical white matter hypodensity in the frontal and parietal regions bilaterally shows lower T1 signal than expected for unmyelinated parenchyma. An MRI is recommended for better visualization of these areas, as clinically indicated.