 There are numerous periventricular, juxtacortical, and infratentorial T2 hyperintense white matter lesions as well as potentially an additional lesion at the cervicomedullary junction. Some of these lesions demonstrate T1 hypointensity. There is no evidence of acute infarct. There is a 1 cm centrally heterogeneous and peripherally T2 hypointense lesion within the left hippocampal tail that demonstrates extensive susceptibility effect and is most compatible with a cavernous malformation. There is no significant surrounding edema. There is global volume loss. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is a 1 cm pineal cyst. The skull, paranasal sinuses, and scalp soft tissues are unremarkable. There is a 13 mm T1 and T2 hyperintense well-defined rounded lesion within the C2 vertebral body on the right that likely represents a hemangioma.
1.Numerous periventricular, juxtacortical, and infratentorial white matter lesions as well as potentially an additional lesion at the cervicomedullary junction compatible with multiple sclerosis.2.1 cm cavernous malformation within the left hippocampal tail without surrounding edema.3.Moderate global volume loss.