Known cavernomas: seizures, recently diagnosed lesions on outside imaging. There are subcentimeter lesions with susceptibility effect in the left basal ganglia, right anterior temporal lobe, right precentral gyrus, posterior right medulla, left superior cerebellar hemisphere, and at the junction of the left pons and midbrain. There is no evidence of intracranial hemorrhage or 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.
Multiple supratentorial and infratentorial subcentimeter lesions are compatible with cavernous malformations. No evidence of associated acute intracranial hemorrhage or developmental venous anomalies.