44-year-old male with cerebral cavernous malformations, yearly surveillance Redemonstrated is cavernous reformation within the right postcentral gyrus which is unchanged in size, signal intensity and overall morphology. Surrounding parenchymal hemosiderin staining remains also similar to prior exam and without perilesional edema. The lesion measures approximately 10 mm in transverse axis which is nearly identical to prior exam. There is no associated cavernous reformation. Also redemonstrated is a small focus of susceptibility in the right thalamus without enhancement or interval change. This may present a focus of microhemorrhage or a second hemorrhaged cavernous reformation. There are no other foci of susceptibility abnormality. Cortex, cortical sulci, ventricular system, CSF spaces and brain myelination otherwise are unremarkable and stable. No abnormal parenchymal, leptomeningeal or calvarial enhancement. Unremarkable images through the orbits, paranasal sinuses and mastoid air cells.
1.Stable right postcentral gyrus cavernous malformation.2.Stable punctate focus of susceptibility in the right thalamus which may represent a focus of microhemorrhage or a tiny second cavernous malformation.