25 years Female (DOB:9/1/1991)Reason: 3 t scanner ccm protocol qsm/permeabililty evaluate for cavernoma History: screen for cavernomaPROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD There are multiple lesions with susceptibility effect scattered throughout the brain. The largest one is in the superior aspect of the vermis eccentric to the right side and measures 9 x 7 mm in axial dimensions on T1 imaging and 10 mm x 9 mm in sagittal imaging. A right occipital lobe measures 5 mm axial dimensions on T2 imaging and has a thick halo of susceptibility effect surrounding it. One in the left frontal lobe periventricular white matter measures 4 mm in diameter. Additional lesions are scattered elsewhere. One is located in the left cerebellar hemisphere, one is located in the right frontal lobe another one is located along the left superior frontal gyrus and another one along the right parietal 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.
There are multiple hemorrhagic lesions scattered throughout the brain compatible with cavernous hemangiomas. One in the right occipital lobe has a thick halo of hemosiderin suggesting may have hemorrhaged previously. The largest one appears to be located in the superior aspect of the vermis.