Female, 74 years old, with a rotatory hemorrhagic telangiectasia, screening evaluation for AVMs. Image quality is reduced by motion artifact. Within this limitation, no direct evidence of any intracranial vascular malformation is seen. However, the left middle meningeal artery is more prominent than the right which could be an indirect indication of a vascular malformation. Foci of susceptibility are seen within the left temporal lobe as noted on prior MRI. However, no abnormal vasculature is demonstrated in this immediate vicinity. The visualized proximal intracranial vessels demonstrate normal morphology and flow related signal. No significant vascular compromise is detected. However, please note that reduced image quality lowers the sensitivity for small and more distal lesions.
1.Please note that motion artifact on this examination reduces sensitivity for small or more distal lesions.2.No direct evidence of any intracranial vascular malformation is seen.3.However, the left middle meningeal artery is more prominent than the right which could potentially indicate the presence of a small vascular malformation. Conventional cerebral angiography can be considered as clinically warranted.