Status post motor vehicle collision. Evaluate for stroke, acute pathology or intracranial hemorrhage. The patient experienced loss of sensation and neck pain. Evaluate for cervical instability. MRI brain:Redemonstrated is a minimally enhancing lobular mass involving the right frontal periventricular region which measures 10 x 11 mm (series 7, image 21). This demonstrates susceptibility abnormality with an accompanying prominent venous structure. There is no surrounding edema and the lesion has not changed in size compared to the previous CT. No other lesions are detected elsewhere. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.MRI C-spine:The cervical spine alignment is maintained. The vertebral bodies are appropriate in height. The bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: There is a mild disc osteophyte complex but no significant compromise to the spinal canal or neural foramina.C3-4: There is a mild disc osteophyte complex and mild uncovertebral and facet hypertrophy, which causes mild bilateral neural foraminal stenosis but no central canal stenosis.C4-5: There is a mild disc osteophyte complex and mild facet and uncovertebral hypertrophy, which cause mild bilateral neuroforaminal stenosis. No central spinal canal stenosis. C5-6: There is a mild disc osteophyte complex and mild to moderate uncovertebral and facet hypertrophy, which causes mild bilateral neuroforaminal stenosis. No central spinal canal stenosis.C6-7: There is mild uncovertebral and mild to moderate facet hypertrophy which causes mild left neural foraminal stenosis. No right neural foraminal or central canal stenosis.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. The paraspinous soft tissue structures appear within normal limits.
1.Findings compatible with a 10 x 11 mm cavernous malformation in the right frontal periventricular region which is unchanged compared to the previous exam.2.Mild degenerative changes involving the cervical spine without evidence of significant spinal canal or neural foraminal compromise.