Pediatric Question - by Dr. Sravvya

A term infant is noted to be hypoglycemic in the first few hours of life.  Labor and delivery were uneventful and the mother did not have diabetes. The hypoglycemia corrects with intravenous dextrose, but the infant requires continuous intravenous dextrose to maintain a normal glucose. The physician notes that the infant’s pupils do not react to light and he does not attend to visual stimuli. However, he responds well to sound and is interested in feeding. An ophthalmologist examines the infant and notes optic nerve hypoplasia bilaterally. The remainder of his neurologic examination is normal. What is most likely to be seen on brain MRI?

A. Agenesis of the corpus callosum
B. Absence of the septum pellucidum
C. Stenosis of the cerebral aqueduct
D. Cerebellar-pontine hypoplasia

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Answer for the last question - Empyema necessitans