Diagnosis: Benign neoplasm of meninges, unspecifiedClinical question: change in meningiomaSigns and Symptoms: multiple unrelated There is redemonstration of a calcified focus present along the falx cerebri on the right side it is low signal on all pulse sequences and has susceptibility effect associated with it.There are several periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.Exam is mildly degraded due to patient motion which may obscure more subtle abnormalities.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 demonstrate some scattered opacities in the maxillary sinuses which were also present on the prior exam.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.A right parafalcine lesion is calcified. It could represent a branch out meningioma for example. It is unchanged since previous exams2.Exam is mildly degraded due to patient motion which may obscure more subtle abnormalities.3.Periventricular and subcortical white matter signal changes of a mild degree are present. Given the small number, it is suspected that these are of little clinical significance.