 BRAIN: There is no acute infarct, mass effect, or cerebral edema. The myelination pattern appears normal for patient age with presence of high intrinsic T1 signal in the peri-Rolandic cortex, and in the posterior limbs of the internal capsules. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is a small subgaleal collection in the bilateral parietal scalp extending posteriorly into the occipital scalp measuring up to 9 mm in thickness, consistent with birth trauma.SPECTROSCOPY: Single voxel short TE MR spectroscopy of the posterior midline parietal/occipital gray matter, left parietal white matter and the left basal ganglia region show normal spectra for age. Single voxel intermediate TE MR spectroscopy of the posterior midline parietal/occipital gray matter shows absence of inverted double peak confirming absence of a lactate peak. No abnormal or unaccounted peaks are seen.
1.No evidence of hypoxic ischemic injury. The brain appears normal for age. Small parietal and occipital subgaleal collection compatible with birth trauma.2.MR spectra are normal for age which argues against any significant underlying parenchymal injury.