 There are postoperative findings related to right frontotemporal approach for resection of a right parasellar meningioma. There is mild residual dural thickening and enhancement along the right anteromedial portion of the middle cranial fossa, lateral aspect of the cavernous sinus, and right posterior clivus that measures up to approximately 3 mm in thickness. There is a small amount of residual confluent T2 hyperintensity in the anterior right temporal lobe adjacent to the resection bed, which may represent encephalomalacia or gliosis. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Postoperative findings related to resection of a right parasellar meningioma with what may represent a small amount of residual tumor versus residual reactive dural thickening in the resection bed.