56 years Male (DOB:6/16/1960)Reason: CCM Protocol, QSM, Permeability, 3T Scanner History: Solitary CCM, seizuresPROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD There is redemonstration of a 16 x 21 mm axial dimension mass in the medial aspect of the left temporal lobe in the region of the amygdala which measures 21 x 18 mm coronal dimensions. It is unchanged compared to the previous exam from 10/26/2015. It has a heterogeneous appearance and a peripheral signal void and a popcorn-like appearance centrally on T1 and T2 imaging. There appears to be a small developmental venous anomaly associated with it. This abuts the temporal horn of the left lateral ventricle and also extends along the medial surface of the left temporal lobe abutting the suprasellar cistern.There are several periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.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 cerebral cavernous malformation present along the medial aspect of the left temporal lobe which is stable compared to the prior exam.