Left frontal meningioma resection in 1981. Reresection in 1994. Left falcine meningioma RT in 2009. There are postoperative findings related to left frontal meningioma resection with encephalomalacia in the underlying brain parenchyma and a small amount of enhancing tissue overlying the left middle frontal gyrus, which measures up to 5 mm in width. There is a falcine meningioma that measures up to 32 mm, previously 24 mm, with associated vasogenic edema in the adjacent portions of the bilateral frontal lobes. There is also an unchanged left lateral temporal convexity meningioma that measures up to 7 mm in width. There is no evidence of acute intracranial hemorrhage or acute infarct. 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. There is unchanged enhancement within a presumed the left temporal craniotomy gap and within the left frontal craniotomy flap.
1. Postoperative findings related to left frontal meningioma resection with encephalomalacia in the underlying brain parenchyma and a small amount of enhancing tissue overlying the left middle frontal gyrus, which measures up to 5 mm in width and may represent residual meningioma. 2. Interval increase in size of the falcine meningioma that measures up to 32 mm and associated vasogenic edema in the adjacent portions of the bilateral frontal lobes.3. Unchanged left lateral temporal convexity meningioma that measures up to 7 mm in width. 4. Unchanged nonspecific enhancement within a presumed the left temporal craniotomy gap and within the left frontal craniotomy flap.