Son is 27 months old and cannot speak, what should I do

Patient's question:

My son is now 27 months old. He currently only knows how to say a few words like "dad" and "this." It feels like he says "dad" unconsciously. Sometimes he says "dad" as if talking to himself, pointing randomly. But when asked about things, he says "this" intentionally and uses his finger to gesture. On October 4th, he had an MRI. The findings showed: symmetrical hazy, slightly long T1 and T2 signals in the posterior horns of both lateral ventricles, with slightly high signals on the dark-fluid images. No obvious abnormalities were observed in the ventricles or cisterns, and there was no shift in the midline brain structures. Impression diagnosis: abnormal signals in the posterior horns of both lateral ventricles, please correlate with clinical findings. Previously, he had an intelligence test with a score of 80, with most of the points deducted in language.
Could you please explain: What does "abnormal signals in the posterior horns of both lateral ventricles" mean? What impact does it have on the child? Is it related to his inability to speak? If so,

Doctor's answer:

Some children are naturally slow in speaking! However, it is still necessary to conduct a thorough check-up! The child may have developmental delays, which could result in them speaking later than typical children.
Suggestions: It is recommended that you visit the pediatric rehabilitation department at a children's hospital. If it is indeed developmental delay, please seek treatment as early as possible. There is a difference in the timing of language development in children. Since your baby can already speak simple words and understand what you say, it indicates that there are no other issues. You don’t need to be too anxious—just provide proper guidance.

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