Hi, Just got my daughters CT report via e mail and wondering what all of this means. She is 9 years old, has a VP shunt due to Shaken Baby Syndrome at 9 weeks old. The CT was to check her shunt, however I haven t seen the other findings listed before and curious as to what they mean. A right parietal approach shunt catheter is in place, with its tip projecting along the right frontal skull convexity near the vertex. Visualized portions of the shunt catheter are intact, with no evidence kink or discontinuity. There is massive dilatation of the supratentorial ventricular system, particularly the lateral ventricles. There appears to be a thin band of brain parenchyma lining the margins of the ventricles. The most clearly identifiable brain parenchyma is noted along the right posterior falx and the bilateral cerebral peduncles (series 2-image 33). The cerebellum is slightly small but otherwise normal in appearance, including the vermis and tonsils. The fourth ventricle is nondilated. There is prominence of the intracerebellar CSF space. The visualized osseous structures are unremarkable. The visualized mastoid air cells and middle ear cavities are clear. IMPRESSION: 1. Shunt catheter as above. No evident kink or discontinuity. 2. Severe hydrocephalus, with massive dilatation of the lateral ventricles. 3. A thin rim of brain parenchyma appears to surround both lateral ventricles, with more recognizable brain parenchyma along the left posterior falx and the cerebral peduncles.