Female, 81 years old, with history of meningioma status post resection on 10/31/2013. Surveillance exam. A mildly hemosiderin stained resection bed is again seen spanning the left parietal and temporal lobes. No evidence of any nodular enhancement is seen within or around the resection bed to suggest residual or recurrent tumor. Encephalomalacia and associated confluent T2 hyperintensity within the parenchyma surrounding the resection bed has very slightly progressed. Elsewhere, no pathologic intracranial enhancement is seen. Patchy foci of white matter T2 hyperintensity in the cerebral hemispheres are not significantly changed and remain nonspecific. No new abnormal extra axial collections are detected. Ventricular size and morphology are unchanged.
Sequelae of prior left-sided meningioma resection are seen. No evidence of residual or recurrent tumor is demonstrated. Encephalomalacia and T2 hyperintensity within the surrounding parenchyma has slightly progressed, but this is likely of no clinical significance.