35 years Female (DOB:6/18/1981)Reason: 3 t ccm History: ha, s/p bleedPROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a hemorrhagic lesion present in the left temporal lobe anteriorly is overall dimensions are 37 x 16 mm. It appears to be composed of 2 components one anterior laterally measuring 16 x 17 mm which has heterogeneous is signal and one posteriorly which is predominantly T2 hyperintense. There is a hemosiderin ring surrounding the whole dimensions on the prior exam the overall measurements were 40 x 20 mm axial dimensions.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.
There is a left temporal lobe hemorrhagic lesion present which has some characteristics which are suspicious for cerebral cavernous malformation with recent hemorrhage. Compared to the prior exam it is slightly smaller in overall dimensions.