Clinical question: History of brain lesion, evaluate for change in size. Signs and symptoms: Surveillance scan. Pre-and post-enhanced brain MRI:Examination redemonstrates a left paraclinoid residual enhancing meningioma measuring at 10 x 15-mm in transaxial dimensions. This lesion is remeasured on prior exam and demonstrates no convincing evidence of interval change in its size or morphology. Stable postoperative changes of left frontal craniotomy and expected minimal uniform dural thickening and enhancement.Negative diffusion weighted series.Extensive left anterior temporal encephalomalacia and to a lesser degree left inferior frontal encephalomalacia with resultant ex vacuo dilatation of the adjacent cortical sulci. Residual gliosis in the left frontal and temporal lobe similar to prior exam.Findings of mild to moderate chronic nonhemorrhagic small vessel ischemic strokes in the subcortical, periventricular and minimally of right basal ganglia and moderately in the pons without convincing evidence of change since prior study.Stable normal size of ventricular system and with maintained midline.
1.Stable residual left paraclinoid meningioma since prior study as measured /measured above.2.Negative diffusion weighted images and stable findings of mild to moderate chronic nonhemorrhagic small vessel ischemic strokes.3.Stable extensive postoperative changes of the left frontal craniotomy, extensive left anterior temporal and left inferior frontal S. malacia and gliosis.