74 years Female (DOB:4/16/1942)Reason: 3 t scanner HHT pt please evaluate for AVMs History: screening for HHTPROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD Examination is somewhat degraded due to motion artifact.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.There is a small focus of low signal on T2 and FLAIR measuring 2 mm diameter located in the left temporal lobe adjacent to the temporal horn of the left lateral ventricle associated with blooming effect on the stability weighted imaging. There is an adjacent punctate focus of signal loss and susceptibility weighted imaging.The CSF spaces are appropriate for the patient's stated age with no midline shift. No 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. The eyeball lenses are thin.
1.There is a hemorrhagic lesion present in the left temporal lobe. The underlying cause is uncertain.2.Exam is degraded due to artifact related to patient motion. This will obscure more subtle abnormalities which are frequently seen with HHT.3.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 