30 years Female (DOB:8/30/1985)Reason: Please evaluate for cerebral AVMs, HHT History: HHTPROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD MRI of the brainNo diffusion weighted abnormalities are appreciated.There is a T2 and FLAIR hyperintense lesion located in the right temporal lobe white matter behind the right sylvian fissure and just lateral to and adjacent to the right inferior longitudinal fasciculus which measures 8 x 5 mm axial dimensions. It is not associated with any susceptibility effect and it is not associated with contrast enhancement.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is no evidence for intracranial aneurysm or cerebrovascular occlusion.The anterior communicating artery is identified and is medium sized. The right posterior communicating arteries is not readily identified. The left posterior communicating artery is small The vertebral arteries are similar in size. The left A1 segment is larger than the right A1 segment. There is triplication of the anterior cerebral artery.
1.No evidence for cerebrovascular occlusive disease.2.No evidence for intracranial aneurysm or arteriovenous malformation.3.There is a small lesion present in the right temporal lobe white matter. In isolation this is nonspecific.