Clinical question: Ptosis, double vision,? Horner's. Signs and symptoms: Is a bulge. Pre-and post-enhanced brain MRI:Negative diffusion weighted images.Examination demonstrates a dural based extra-axial well-demarcated and uniformly enhancing mass along the left side of falx in left anterior parietal consistent with a meningioma. The lesion measures approximately 18 x 14.5-mm in transaxial and 17-mm in (cc ) dimensions. This finding demonstrates very subtle indentation on the adjacent brain parenchyma without detectable signal abnormality.There is also an additional smaller meningioma in the right posterior frontal along the inner table of the skull. This finding measures approximately 9 times 10-mm in transaxial dimensions and results in very subtle indentation of adjacent parenchyma without signal abnormality.There is mild uniformly prominent cerebral cortical sulci which could be within normal range for patient stated age of 72.Ventricular system are within normal and maintained midline.The myelination of brain is also within normal. The signal void of major intracranial arterial branches are identified. There is no detectable abnormal parenchymal or leptomeningeal enhancement other than above detailed small meningiomas.The signal intensity of intracranial venous sinuses are within normal and the normal pattern of enhancement.Calvarium and soft tissues of the scalp are unremarkable. Unremarkable images through the orbits and including axial fat sat post enhanced series.All paranasal sinuses and bilateral mastoid air cells and middle ear cavities remain well pneumatized.
1.No acute intracranial process.2.Left parietal falcine meningioma measuring at 18 x 14 x 17-mm in size. No significant mass effect or associated adjacent brain parenchymal signal abnormality.3.Right posterior frontal meningioma along the inner table of the skull measuring at 9 x 10-mm and the subtle indentation of adjacent parenchyma.4.Slight generalized prominence of cortical sulci which could be within normal for patient's stated age of 72 and unremarkable pre-and post enhanced brain MRI otherwise.