Other specified disorders of bladder [N32.89] / Unspecified urinary incontinence [R32], Reason for Study: ^Reason: Evaluate for tethered cord History: day time and night time enuresis Redemonstration of right frontal parietal craniotomy with right frontal tissue loss especially anterior aspect of right inferior frontal lobe, lateral orbital gyrus as well as encephalomalacia of right medial orbital gyrus and the right rectus gyrus indicating postoperative changes, unchanged since prior scan.There is about 2.8mm sized nodular enhancing lesion on the superior aspect of resection margin just inferior lateral aspect of the right lateral ventricle frontal horn.This lesions were not seen on prior scan. Thus could represent small focal recurrence of tumor.There is another small enhancing lesion on inferolateral aspect of the right middle frontal gyrus and associated with adjacent dural enhancement. The lesion appears to be slightly smaller than prior especially brain MRI performed on Jul 9 2014, thus indicating postoperative reactive changes. Diffuse dural enhancement is still seen which has not been changed since prior scan. Thickening of anterior cranial fossa especially right side lesser wing of sphenoid is again seen, unchanged.The ventricles, sulci and cisterns are unremarkable. The midline structures and cranial-cervical junction are normal. The paranasal sinuses and mastoid air cells are clear.
1. Focal nodular enhancing lesion on the resection margin of the original tumor, at the inferolateral aspect of the right lateral ventricle frontal horn. Diagnostic possibility includes recurrent tumor. Follow up imaging is recommended.2. Otherwise stable postresection status of large right subfrontal meningioma since prior scan.