MRI of the brain shows dilatation of both lateral, the third and the fourth ventricles with an Evan’s index of 0.43. There is no periventricular ooze. There is a thin walled cystic area with CSF intensity on all sequences, located in the left cerebellar region, communicating with the fourth ventricle. It is scallops the left cerebellar hemisphere and displaces it posteriorly.
Blake’s pouch cyst : hydrocephalus
Blake's pouch is named afterr. Joseph Augustus Blake (1864–1937), an American physician and surgeon. In 1900, Blake first described this transient, normal embryological structure
The Evans index is named after William Albert Evans Jr. (1907–1956), an American radiologist. In 1942, he published a seminal paper titled "An encephalographic ratio for estimating ventricular enlargement and cerebral atrophy"