44 years Female (DOB:2/18/1972)Reason: PRE-OP STEALTH MRI, in CCD at 6am morning of surgery. Please page neurosurgery resident to place fiducials. History: PRE-OP MRI, go to OR after MRIPROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD There is a 10 x 6 mm axial dimension lesion which has a hemosiderin ring around it located along the anterior aspect of the left temporal lobe. On the January exam this measured 21 x 15 mm axial dimensions. At that time the blood products appear to be in the subacute phase.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 cerebellar tonsils appear to be low lying.
1.There is a left temporal lobe lesion present compatible with cerebral cavernous malformation. It is smaller on the current exam when compared to the prior.2.The cerebellar tonsils are low lying3.Examinations performed the purpose of stereotactic guidance during surgery.