17 years Female (DOB:2/14/1999)Reason: 3 t scanner ccm protocol qsm/permialbility History: surveillancePROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD The CSF spaces are appropriate for the patient's stated age with no midline shift. There are multiple lesions identified on susceptibility imaging present in both hemispheres of the supratentorial brain as well as the brainstem. The largest one is located in the left side of the brainstem at the junction of the pons and the left middle cerebellar peduncle and measures 12 mm on T2 imaging. It appears stableOne in the right periventricular white matter in the right parietal lobe measures 7 mm on the current exam and the 10 mm on the prior exam.One in the right postcentral gyrus is smaller. A smaller one in the right precuneus is stable . One in the left periventricular white matter is also stable. A very small lesion in the left occipital lobe is also stable.On susceptibility imaging many small punctate foci of susceptibility effect are identified in the frontal lobes and periventricular white matter which are also identified on the prior exams unchanged.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.
There are multiple cavernous hemangiomas present. Compared to the previous exam the lesion in the right periventricular white matter in the right parietal lobe is small. The rest of the lesions do not appear to have changed substantially.