Female, 82 years old, with left facial twitching and left face numbness, history of left CP angle meningioma. A solidly enhancing extra-axial mass is redemonstrated centered at the left CP angle measuring 28 x 22 mm in the axial plane, unchanged from prior examinations. This lesion impinges on the adjacent brainstem and middle cerebellar peduncle, deviating the brainstem to the right and partially effacing the fourth ventricle. The degree of mass effect is not significantly changed from prior. Mild T2 hyperintensity within the impinged parenchyma is unchanged.No new intracranial lesions are suspected. Scattered small foci of T2 hyperintensity through the cerebral hemispheres are nonspecific and unchanged. A probable small chronic lacunar infarct in the right caudate head is unchanged. The lateral ventricles remain mildly prominent but are similar in caliber and morphology to prior exams. No intracranial hemorrhage or any abnormal extra-axial fluid collection is seen.
Stable left CP angle tumor with stable associated mass effect on the brainstem and cerebellum.