 There is no acute infarct, mass effect, or cerebral edema. There is a slightly larger right high parietal convexity dural based enhancing mass measuring up to 5 x 14 mm (series 12 image 11) compared to 3 x 12 mm previously, without significant surrounding vasogenic edema or mass-effect. There are minimal scattered punctate T2 signal abnormalities in the periventricular and subcortical white matter, nonspecific, likely representing chronic microvascular ischemic changes. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.
Slightly larger right parietal convexity presumed meningioma without associated mass effect or vasogenic edema.