32-year-old female with cerebral cavernous malformation. There is persistent stability in size and signal characteristics of a small focus of T2/FLAIR hypointensity in the subcortical white matter of the left posterior cingulate gyrus with associated susceptibility abnormality. As before, there is no lesional edema or mass effect. There may be a tiny associated vein representing a small associated DVA, however no definite findings of an associated developmental venous anomaly. There are several additional lesions demonstrated on susceptibility weighted sequences within the bilateral cerebral hemispheres which are unchanged. There are no lesions demonstrated within the posterior fossa or brainstem. Within differences of technique these correlate with those on the prior exam and there are no new lesions identified.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, midline shift, intra or extra-axial fluid collection/hemorrhage, or abnormal contrast enhancement. 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.
1.Stable left posterior cingulate gyrus subcortical lesion compatible with a cerebral cavernous malformation and deposition of subacute blood products. There may be a tiny associated vein representing associated DVA.2.Stable additional punctate foci of susceptibility throughout the brain consistent with multiple cavernous malformations.3.No definite new lesions.