Female, 38 years old, with history of cerebral cavernous malformation. A focus of susceptibility is again seen along the posterior left cingulate gyrus measuring up to 5 mm on venBOLD imaging which is unchanged in size compared to the prior exam. No evidence of any significant associated edema is seen. There is the suggestion of wispy associated enhancement, similar to prior, which may represent the presence of a small adjacent developmental venous anomaly.Also unchanged is a punctate focus of susceptibility within the left aspect of the pons which is associated with no convincing T1 signal abnormality and no pathologic enhancement. No new intracranial lesions are seen. A few scattered foci of non-specific subcortical T2 hyperintensity are unchanged in the frontal lobes. No evidence of significant edema or mass effect is seen. No abnormal extra-axial collections are detected. The ventricular system is patent and normal in size.
1. Stable susceptibility inducing lesion within the posterior left cingulate gyrus compatible with a cavernous malformation. Wispy associated enhancement is also unchanged and suggestive of an adjacent developmental venous anomaly.2. A nonspecific punctate focus of susceptibility within the left aspect of the pons is also unchanged, with no convincing associated T1 signal abnormality or enhancement.