Non cystic stage of peri ventricular leukomalacia (MR).

PROTOCOL:  
T2W  - Axial scans
T1W - Axial & Sagittal  scans
FLAIR - coronal scans
3D SPGR – Axial scans

FINDINGS:

• Revealed:

-Minimal blood traces in both lateral ventricles.
-Diffuse peri ventricular abnormal signals on Diffusion images.
-No parenchymal cystic changes.

• Brain parenchyma pattern is normal for patient age with myelination still in progression.
• No obvious focal lesion is seen.
• Third and lateral ventricles are normal in size and position.
• Septum is in midline.
• Brain stem and cerebellum are normal in appearance and signal intensities.
• Fourth ventricle is normal in position and size.


IMPRESSION:

• Presence of diffuse peri ventricular changes may suggest non cystic stage of peri ventricular leukomalacia for follow up study.
• If follow up study revealed cystic formation; this will confirm PVL diagnosis.
• Traces of blood in both lateral ventricles.


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