Yearly follow up to evaluate change in meningioma size. There is no appreciable interval change in the well-defined homogeneously enhancing dural based mass situated in the left aspect of the sella and cavernous sinus that measures up to 15 mm. There is no significant narrowing of the left internal carotid artery flow void, although the structure is surrounded by the mass. There is also mild mass effect upon the otherwise atrophic pituitary gland and deviation of the infundibulum to the right. There is no mass effect upon the optic apparatus. There is encephalomalacia in the right parietal, occipital, and temporal lobes with areas of cortical laminar necrosis. There is otherwise unchanged mild to moderate cerebral white matter T2 hyperintensity, which likely represents chronic small vessel ischemic disease. There is no evidence of intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The skull and scalp soft tissues are unremarkable. There are bilateral lens implants.
1. No appreciable interval change of the mass situated in the left aspect of the sella and cavernous sinus.2. Chronic right middle cerebral artery territory infarcts.