Known extensive DVA, tremor, off balance, speaking difficulty. There is an unchanged brainstem and right cerebellar hemisphere developmental venous anomaly, with multiple surrounding foci of susceptibility effect and patchy enhancement. There is no evidence of acute infarct. The supratentorial brain parenchyma appears unremarkable. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral artery flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No appreciable change in the brainstem and right cerebellar hemisphere developmental venous anomaly, with multiple surrounding cavernous malformations, telangiectasias, and/or microhemorrhages.