Diagnosis: HeadacheClinical question: Evaluate Cavernous malformationSigns and Symptoms: increase intensity in HA There redemonstration of a 7x4mm axial dimension lesion located at the anterior aspect of the right cingulate gyrus. It has a "popcorn" like appearance on T2 imaging and susceptibility effect. It is unchanged since the prior exam.There is redemonstration of a T1 and FLAIR hyperintense focus at the left tentorial leaf. It is unchanged since prior exams.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.
1.Stable right cingulate gyrus cavernoma.2.A left tentorial leaf lesion is likely of little clinical significance. Contents may include calcium. It is stable and has a is a benign appearance.