 Again seen are postsurgical changes of bifrontal craniotomy for resection of right frontal meningioma. There is unchanged appearance of the encephalomalacia in the right superior frontal gyrus. There is minimal linear enhancement along the medial aspect of the resection cavity compatible with postsurgical change. No findings to suggest residual or recurrent tumor. Focal linear enhancement likely representing a tiny developmental venous anomaly within the right paramedian superior frontal lobe is again incidentally noted and unchanged. No evidence of acute infarct or hemorrhage. No intracranial mass effect, midline shift, or herniation. No hydrocephalus. No extra-axial collections. Nonspecific foci of T2 hyperintensity are seen involving the globi pallidi which may be related to remote toxic or metabolic injury, but unchanged since earliest available study from 5/31/2011. Brain parenchyma is otherwise unremarkable.
Postsurgical changes of right frontal meningioma resection. No findings to suggest residual or recurrent tumor.