Reason: Surviellance imaging following SRS for meningioma History: Surviellance imaging following SRS for meningioma The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 22 x 16 mm sagittal dimension and 16 x 19 mm axial dimension extra-axial mass at the anterior aspect of the falx cerebri adjacent to the right cingulate gyrus and adjacent right superior frontal gyrus. On the prior exam it measured 22 x 16 mm sagittal dimensions and 19 x 16 mm axial dimensions. There is some associated susceptibility effect.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eyeball lenses are thin.
1.Right parafalcine mass is stable compared to prior exam and most likely represents meningioma.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 