6-year-old female with multiple cerebral cavernous malformations brain , + CCM1 gene, history left sided weakness, yearly evaluation please do on 3T with ccm protocol. Signs and Symptoms: yearly surveillance The CSF spaces are appropriate for the patient's stated age with no midline shift. Redemonstrated is a heterogeneous pontine mass measuring 19 x 22 mm (previously 19 x 22 mm) as measured on the axial T2 sequence. There has been evolution of internal hemorrhagic components. The surrounding hypointense rim is unchanged in appearance and there is no new perilesional edema.Previously identified lesions within the anterior left temporal lobe, the more posterior left temporal lobe, along the medial right periatrial white matter, and involving the right occipital lobe are unchanged in appearance. There are no new susceptibility foci.Incidental note is made of a small developmental venous anomaly within the medial right frontal lobe without associated susceptibility abnormality focus. 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 and demonstrate some mucosal thickening with new fluid levels in the maxillary sinuses. Mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Stable pontine cavernous malformation. The surrounding hypointense rim is unchanged in appearance and there is no new perilesional edema.2.Stable cavernous malformations elsewhere.3.The visualized portions of the paranasal sinuses and demonstrate some mucosal thickening with new fluid levels in the maxillary sinuses.