Clinical question: Meningioma resection 2 years follow-up. Signs and symptoms: 2 year follow-up cco dizziness. Pre- and post enhanced brain MRI:Negative diffusion-weighted images.Examination demonstrates stable post operative changes of left frontal region with evidence of encephalomalacia and gliosis and adjacent ex vacuo dilatation of the cortical sulci. There is no detectable abnormal enhancement to suggest residual or recurrence of tumor. This is a similar finding as prior MRI exam from 2013. Expected minimal dural thickening and enhancement along the inner table of craniotomy flap is noted.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces otherwise for patient's stated age. Unremarkable images through the orbits, paranasal sinuses and mastoid air cells and unremarkable calvarium other than left frontal craniotomy changes
1.Stable post operative changes of left anterior frontal craniotomy without evidence of recurrence of tumor.2.Unremarkable pre and postcontrast enhanced brain MRI otherwise.