Hypotonia, brisk reflexes, child with autism spectrum disorder, intellectual disability, and ADHD. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The lateral ventricles appear to be dysmorphic and asymmetric. There is no midline shift or herniation. The brain parenchyma otherwise appears to be grossly unremarkable. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Cervical Spine: There is a kyphotic alignment of the cervical spine, upper thoracic levoscoliosis, thoracolumbar dextroscoliosis, lower lumbar levoscoliosis, and minimal lumbar lordosis, but no spondylolisthesis. There is intervertebral disc herniation in the anterior portion of the superior endplate of L2 with surrounding degenerative bone marrow signal alterations. Otherwise, the vertebral body heights are preserved and the rest of the vertebral bone marrow signal is unremarkable. There is a central disc protrusion at C5-6 with high T2 signal that mildly indents the spinal cord. The rest of the spinal cord displays normal signal and morphology. The conus medullaris is located at the L2 level and there is no evidence of fibrofatty filum terminale or spinal tumors in general. The paravertebral soft tissues are unremarkable.
1. The lateral ventricles appear to be dysmorphic and asymmetric, which may be attributable to an underlying development anomaly.2. Kyphotic alignment of the cervical spine, upper thoracic levoscoliosis, thoracolumbar dextroscoliosis, lower lumbar levoscoliosis, and minimal lumbar lordosis, but no spondylolisthesis. 3. A central disc protrusion at C5-6 mildly indents the spinal cord. 