Diagnosis: Disturbance of skin sensation Muscle weakness (generalized)Clinical question: eval for vascular malformation, pt with acute intraparenchymal hemorrhageSigns and Symptoms: left pronator drift, decreased sensation left face The CSF spaces are appropriate for the patient's stated age with no midline shift. No foci of diffusion restriction are appreciated.There is a 9 x 7 mm axial dimension signal hypointense focus associated with susceptibility effect located within the right superior frontal gyrus adjacent to the bottom of the right superior frontal sulcus. It has a popcorn-like appearance on T1-weighted imaging. It is associated with a small developmental venous anomaly.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 demonstrate a small mucous retention cysts in the right maxillary sinus.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
Findings are suggestive of a cerebral cavernous malformation located in the right superior frontal gyrus.