34 years Female (DOB:10/11/1981)Reason: 34yo with von Hippel-Lindau disease (VHL) and two preexisting enhancing nodules involving the inferior left cerebellar hemisphere surface and the superior cerebellar hemisphere surface with minimal associated edema; evaluate for growth and new lesions History: 34yo with von Hippel-Lindau disease (VHL) and two preexisting enhancing nodules involving the inferior left cerebellar hemisphere PROVIDER/ATTENDING NAME: JANE ELLEN CHURPEK JANE ELLEN CHURPEK The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 5 mm enhancing nodule along the inferior aspect of the left cerebellar hemisphere which is also present on the prior exam and measured about 4.5 mm on the prior exam. There is a 4 x 5 mm nodule along the superior aspect of the right cerebellar hemisphere which previously measured approximately 3.5 mm. There is associated T2 and FLAIR signal hyperintensity adjacent to these lesions which appears more on the current versus the prior exam.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.
Since the prior exam enhancing nodules in the cerebellar hemispheres bilaterally have subtly increased in size and are associated with more edema on the current versus the prior exam from 2014. Given the patient's clinical history of VHL, these would be compatible with hemangioblastomas.