Hemangioma of intracranial structures [D18.02], Reason for Study: ^Reason: CCM Protocol, 3T Scanner, QSM/permeability, known DVA and cavernoma, please evaluate History: tingling in hands, feet, weakness in L arm, numbness on L side of tongue, severe pain About 8mm sized round T2 low signal intensity, T1 iso intensity with significant susceptibility artifacts indicating cavernous malformation at the right inferoanterior basal ganglia and adjacent developmental venous anomaly. There is no evidence of surrounding edema of the lesion.There is no evidence of acute ischemic or hemorrhagic lesion on this scan.There is no other abnormal enhancement except the DVA.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.Cervical spine MRISpinal cord signal intensity is normal.The spine alignment is anatomic.Bone marrow and spinal cord signal intensity are normal.There is central focal disc protrusion which abuts thecal sac at the level of C56 with mild bilateral ligamentum flavum thickening result minimal spinal canal narrowing. No neuroforaminal stenosis is seen at this level.Diffuse bulging of disc is seen at the level of C45.Other cervical disc levels appear to be within normal limits.
1. About 8mm sized right inferoanterior basal ganglia cavernous malformation associated with DVA.2. No other lesion is seen.3. Central disc herniation (focal protrusion) at the level of C56 and diffuse bulging of disc at the level of C45 as described above. 