36 years Male (DOB:12/3/1979)Reason: 1 year surveillance CCM; CCM Protocol, QSM, permeability, 3T Scanner History: visual problemsPROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD There is redemonstration of a hemorrhagic focus centered in the right optic tract and adjacent basal ganglia which since the prior exam has enlarged along the right optic tract, right side of the optic chiasm and posterior most aspect of the right optic nerve. The component that extended into the right optic tract and optic nerve has an exophytic appearance and extends into the suprasellar cistern. The optic nerve component is adjacent to the right A1 segment. There are fluid-fluid levels present within 2 components of this cavernous malformation now. One fluid fluid level which is new is located at the optic tract and is new compared to the prior exam and measures approximately 7 mm diameter the other one is located in the right basal ganglia and measures 5 mm.There is redemonstration of a developmental venous anomaly in the left frontal lobe.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.Since previous examination the patient's right optic tract and basal ganglia cerebral cavernous malformation has enlarged predominantly along the the right side of the optic chiasm and right optic nerve in an exophytic manner.