21 years Male (DOB:2/27/1995)Reason: 3T Scanner, QSM/Permeability, CCM Protocol, please evaluate cavernomas History: Known cavernomas, hx of radiation, headachesPROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD The CSF spaces are appropriate for the patient's stated age with no midline shift. There are multiple small foci of signal loss on susceptibility weighted imaging scattered throughout the brain parenchyma above and below the tentorium. These are mainly subcortical in location.There is more confluent signal loss and susceptibility weighted imaging and on T2 and FLAIR imaging within the subcortical white matter along the left precuneus.. There is no associated contrast enhancement. A prior hematoma in this location has evolved.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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.Multiple punctate hemorrhagic lesions scattered throughout the subcortical white matter of the brain. In general this appears stable.2.Continued evolution of hemorrhagic focus in the left precuneus.