Reason: view for cav mal History: 12yr female with headaches and familial history of CCM The CSF spaces are appropriate for the patient's stated age with no midline shift. Artifact from the patient's dental procedure obscures the visualization on many of the pulse sequencesNo abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There is no evidence for cerebral cavernous malformation on this exam to the extent of visualization possible on this exam. Please note that some metal artifact from the patient's dental work may obscure a very subtle and very small cavernoma.2.No abnormal mass lesions are appreciated intracranially.