Multiple cavernomas seen on outside radiology scan, please evaluate. There is apparent interval increase in size of the left posterior cingular gyrus cavernous malformation as well as formation of a thicker hemosiderin rim, now measuring up to 14 mm, previously 11 mm. There is a small developmental venous anomaly associated with this lesion, as well in the right middle frontal gyrus. There is a punctate focus of susceptibility effect and enhancement in the superior vermis. There is an unchanged lesion with susceptibility effect and diffuse faint enhancement in the right pons that measures up to 11 mm There is no evidence of intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Apparent interval increase in size of the left posterior cingular gyrus cavernous malformation with associated developmental venous anomaly.2. A lesion in the right pons likely represent a capillary telangectasia rather than a cavernous malformation.3. A punctate lesion in the superior vermis also likely represents a vascular malformation.