27 years Female (DOB:8/7/1988)Reason: 3T scanner, qsm/permeabiltiy, CCM Protocol History: yearly surveillancePROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD There are multiple lesions which have a ring of low signal compatible with hemosiderin ring and smaller central area of T2 signal hyperintensity present which appear to be stable compared to the prior exam. The largest one appears to be in the left basal ganglia and internal capsule and measures 14 x 11 mm axial dimensions and is unchanged. Other smaller lesions evident on T2 imaging are located in the left hippocampus left fusiform gyrus right inferior temporal lobe gyrus, right anterior medial temporal lobe left isthmus of the cingulate gyrus left frontal lobe subcortical white matter, right frontal lobe subcortical white matter and a right paracentral lobule subcortical white matter and another one in the gray matter in that location and right superior frontal gyrus. Additional lesions are also identified on susceptibility weighted imaging which are not clearly identified on the T2 and FLAIR images..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.
The patient has multiple cerebral cavernous malformations scattered in both hemispheres which are stable compared to the prior exam.