64 years, Female, evaluate for frontal meningioma, status post resection and radiation and continues to have headaches that are worse than usual. Also a seizure history. Examination is severely limited. Postsurgical changes of bifrontal craniotomy and encephalomalacia involving the inferior frontal lobes, left greater than right, again seen and better appreciated previously. No evidence of acute infarct. There is no gross intracranial mass effect, midline shift, or herniation. No hydrocephalus. Note this examination is not adequate to assess for small tumor recurrence.There appears to be diffuse opacification of the right frontal sinus and right posterior ethmoid air cells, which has been present on multiple prior studies.
1. Severely limited exam due to patient's claustrophobia; please see comment in technique section. There is no large mass, intracranial mass effect, midline shift, or herniation. Note this examination is not adequate to assess for small tumor recurrence.2. There appears to be diffuse opacification of the right frontal sinus and right posterior ethmoid air cells, which has been present on multiple prior studies.