Multiple CCM: Turner's syndrome, right arm numbness, right foot and leg numbness, nausea/sensitivity to light/migraines, trouble walking, trouble writing, dizziness, vision changes. There is a lesion in the pons with susceptibility effect and patchy enhancement that measures up to 25 mm. There is an associated developmental venous anomaly and left hypertrophic olivary degeneration. There are several other lesions with susceptibility effect ad enhancement, including within the left cerebellar hemisphere, bilateral cingulate gyri, bilateral peripheral frontal lobes, and right parietal lobe, some of which are also associated with developmental venous anomalies. There is no evidence of acute infarct. 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. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. A lesion in the pons with susceptibility effect and patchy enhancement that measures up to 25 mm is compatible with a cavernous malformation associated with a developmental venous anomaly and left hypertrophic olivary degeneration.2. Multiple punctate supratentorial and infratentorial lesions are also compatible with cavernous malformations, some of which are associated with developmental venous anomalies. 