40 years Female (DOB:10/29/1975)Reason: 3T scanner, CCM Protocol, qsm/permeability if possible; no contrast per patient's request History: please evaluate for changes and lesion burden - compare to prior outside images uploaded to EpicPROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 9 x 8 mm lesion located in the inferior aspect of the left brachium pontis which has not changed since the prior exam. It is got a rim of signal loss and heterogeneous T2 signal centrally. There is associated susceptibility effect.No abnormal 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 mucosal thickening in the maxillary sinuses and mucous retention cyst in the left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
The patient was unable to complete the examination. As a result this is a limited exam.There is redemonstration and no change of a cerebral cavernous malformation located in left middle cerebellar peduncle.