36 years Male (DOB:9/18/1980)Reason: 3t scanner, ccm protocol, qsm permeability, History: surveillancePROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD There is some mass associated with peripheral signal hypointensity and susceptibility artifact which has a more popcorn-like appearance on T1 and T2 imaging located in the left periventricular white matter and extending to the left lateral ventricle. On T1 imaging it measures 23 x 16 mm in axial dimensions.On susceptibility imaging there is a ringlike focus located in the right temporal lobe inferiorly which is very subtle on the FLAIR and T2 imaging. It is not readily visible on noncontrast T1 imaging.Incidental note is made of cavum septum pellucidum and cavum vergae.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 right vertebral artery appears to be hypoplasticThe 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.Findings compatible with the cerebral cavernous malformation located in the left periventricular white matter which extends into the left lateral ventricle.2.There is a small lesion in the right temporal lobe along the fusiform gyrus best visible on the susceptibility weighted imaging which is suspicious for a cerebral cavernous malformation. It is punctate on in size on the FLAIR and T2 images and likely a millimeter or less in size.