Female, 78 years old, with meningioma, assess for growth. No significant interval change is seen in the size of a dural based mass along the left greater sphenoid wing which measures approximately 33 x 18 mm in the axial plane. As before, this lesion posteriorly displaces the anterior temporal lobe, but there is no evidence of parenchymal edema.No diffusion restriction is seen. Numerous scattered foci of FLAIR hyperintensity are demonstrated in the cerebral hemispheres, not significantly changed. No evidence of acute intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. The ventricles are normal in size and morphology.
1.Stable meningioma along the left greater sphenoid wing.2.Scattered small parenchymal lesions most likely representing chronic microvascular ischemia.