Multiple Cavernomas

Findings:
Axial T2WI show numerous hypointense lesions with hyperintense/heterogenous centers, the largest of which is in the posterior left frontal lobe.

Differential Diagnosis:
cavernomas, multiple shear injury/contusions (lessl likely due to location), hemorrhagic metastases

Discussion:
-hemorrhage risk 0.5-1%/yr/lesion
-"popcorn" appearance is characteristic, commonly coexistent DVA
-thin walled sinusoidal vessels, usual normal CT/angio
-reticulated enhancing heterogenous lesion on MR with hemosiderin rim (blooming artifact)

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