Clinical question: Evaluate for meningioma. Signs and symptoms: Meningioma. Headache. Pre and post enhanced brain MRI:No acute intracranial process and negative diffusion weighted series.Examination redemonstrates a stable small meningioma in right anterior frontal along the inner table of the skull and measuring 8 x 9 mm in transaxial dimensions. This finding is not associated with any appreciable mass effect or edema of the adjacent parenchyma.The cerebral cortex, cortical sulci, ventricular system, CSF spaces and brain myelination is otherwise within normal and stable since prior exam. There is no detectable abnormal parenchymal or leptomeningeal enhancement other than above detailed meningioma. Calvarium and soft tissues of the scapula unremarkable.Images through the orbits including axial fat sat post enhanced series are negative.All paranasal sinuses and bilateral mastoid air cells and middle ear cavities demonstrate normal pneumatization signal patterns.
1.No acute intracranial process.2.Stable small 8 x 9 mm right frontal convexity meningioma since prior exam.3.Unremarkable pre and post enhanced brain MRI otherwise.4.Normal pneumatization signal pattern of all paranasal sinuses and bilateral mastoid air cells and middle ear cavities.