Male, 2 years old, with history of skull fracture and seizures. Assess for structural abnormality. A mild residual deformity of the left parietal bone is seen corresponding to the site of a prior depressed fracture. This deformity very slightly indents the adjacent parenchyma of the left parietal lobe, but there is no evidence of any parenchymal signal abnormality or encephalomalacia in this location.Brain morphology is otherwise within normal limits. No pathologic signal abnormality is detected. The pattern of white matter myelination is appropriate for age. The pituitary, brain stem cerebellar vermis and cerebellar hemispheres are all within normal limits. No evidence of intracranial hemorrhage or any abnormal extra-axial fluid is seen. The ventricles are normal in size and morphology.
1.Mild residual deformity corresponding to a healed left parietal bone fracture. This deformity slightly indents the adjacent brain parenchyma, there is no evidence of any significant injury to that parenchyma.2.Otherwise, the evaluation is within normal limits.