Cerebrovascular anomaly and prior history of suprasellargerminoma and brain irradiation. MRI: Many of the sequences are degraded by patient motion. There are postoperative findings related to left pterional craniotomy. There is a mass that contains extensive susceptibility effect and punctate foci of T1 hyperintensity in the right anterior cingulate gyrus that measures up to 15 mm, which is unchanged. There may be minimal enhancement within the lesion, but no developmental venous anomaly or vasogenic edema is evident in the vicinity. There are also punctate foci of susceptibility effect in the right paracentral lobule and left pons. There appears to be a developmental venous anomaly associated with the left pontine lesion. There is no evidence of acute intracranial hemorrhage or acute infarct. There is mild periventricular white matter T2 hyperintensity in the parietal lobes, which may be treatment-related. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. There is a partially empty sella. The sellar, suprasellar, and pineal gland regions appear unremarkable. The skull and extracranial structures are unchanged.MRA: There is no evidence of significant steno-occlusive lesions or aneurysms, within the limit of MRA.
1. Unchanged cavernous malformation in the right anterior cingulate gyrus that measures up to 15 mm. Smaller foci of susceptibility effect in the right paracentral lobule and left pons also likely represent cavernous malformations.2. No evidence of recurrent suprasellar germinoma.3. No evidence of significant intracranial steno-occlusive lesions.