74 years Female (DOB:10/19/1942)Reason: CCM brain please do with CCM protocol on the 3 T scanner, headaches History: CCM brainPROVIDER/ATTENDING NAME: DAVID M. FRIM DAVID M. FRIM The temporal horns of lateral ventricles are mildly dilated. This appearance was previously present. Biventricular diameter at the level of the foramen of Monro on coronal imaging is 34 mm on the current exam and the same on the 6/9/2016 exam.On susceptibility weighted imaging there is signal loss along the surface of the brainstem and cortex compatible with cirrhosis. There is a hemorrhagic lesion present in the third ventricle anteriorly and inferiorly which was also present on the prior exam.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 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 demonstrate mucosal thickening. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Stable cerebral cavernous malformation located in the third ventricle. This is stable compared to previous exams.2.Mild ventriculomegaly remains stable.3.Siderosis suggests prior subarachnoid bleeding.4.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 