44 years Female (DOB:2/18/1972)Reason: ccm protocol/qsm/permeability 3 t scanner s/p Temporal lobe hemorrhagic cerebrovascular malformation with prior hemorrhage. History: surveillancePROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD There is a punctate focus of signal hypointensity in the right cerebellar hemisphere.Since prior exam patient's undergone left-sided craniotomy and cranioplasty for removal of a left temporal lobe lesion known to represent a cerebral cavernous malformation. There is no small focus of encephalomalacia at the surgical site. There is dural thickening and enhancement adjacent to the craniotomy site.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.The cerebellar tonsils appear to be low lying.
1.A previously noted left temporal lobe cerebral cavernous malformation not identified on the current exam. The patient status post left-sided craniotomy and cranioplasty associated with postsurgical change..2.The cerebellar tonsils are low lying