Ensure lesion stability prior to labor and delivery (2nd trimester pregnancy and known familial cavernomas). There are postoperative findings related to right temporal craniotomy. There is an unchanged small defect in the right pons with adjacent punctate susceptibility effect, which may be postoperative in nature. There is no appreciable change in the subcentimeter cavernous malformation in the anterior left external capsule and several other scattered punctate foci of susceptibility in the cerebral hemispheres, including within the right superior frontal gyrus, right cerebellar hemisphere, left thalamus, and bilateral temporal lobes. There is no evidence of acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits are grossly unremarkable.
No interval change in the multiple cerebral cavernous malformations and superimposed apparent postoperative findings in the right pons.