CCM yearly surveillance There is no appreciable interval change in the innumerable supratentorial and infratentorial cavernous malformations, the largest of which is located in the right occipital horn, which measures up to 16 mm. There is no evidence of acute intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are normal in size and configuration. There is an unchanged cystic pineal gland. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and paranasal sinuses are grossly unremarkable. There is interval increase in size of a right parietal scalp lesion, which appears to enhance.
1. No appreciable interval change in the innumerable supratentorial and infratentorial cavernous malformations.2. Interval increase in size of a nonspecific right parietal scalp lesion, which may be inflammatory in nature.3. Unchanged cystic pineal gland.