Malignant melanoma of skin of other and unspecified parts of face [172.3] / Neoplasm of uncertain behavior of skin [238.2] / Malignant neoplasm of kidney, except pelvis No evidence of acute ischemic or hemorrhagic lesion on the scan.There is about 14mm x 4mm sized dural based enhancing lesion on the right temporal area which does not show any interval change in terms of its size and MR characteristics since prior exam. This lesion is likely represent meningioma, the possibility of metastatic lesion is less likely.Otherwise there is no evidence of abnormal enhancing lesion on this scan.Minimal non specific small vessel ischemic lesions are seen on FLAIR images.The ventricles, sulci and cisterns are symmetric and unremarkable. The midline structures are normal. There is about 5mm downward displacement of cerebellar tonsil indicating borderline Chiari malformation. No evidence of cervical spine signal abnormality.Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. No evidence of acute ischemic or hemorrhagic lesion. No abnormal brain parenchymal enhancement.2. Right temporal dural enhancing lesion (14mm x 4mm) likely represent meningioma, no change since prior scan.3. Downward displacement of cerebellar tonsil indicating borderline Chiari malformation, no change since prior exam. 