Female, 65 years old, with history of meningioma status post resection. Evidence of right frontal craniotomy is again seen. Since the prior examination, acute postoperative findings status post resection of a large right frontal parafalcine meningioma have subsided. A small amount of extra-axial fluid is present beneath the craniotomy. Edema in the right frontal lobe has improved with mild encephalomalacia and hemosiderin staining of the parenchyma. Dural thickening and enhancement along the operative bed is nonspecific. There are no discretely tumor-like lesions identified. Elsewhere, scattered periventricular and subcortical FLAIR hyperintensity is redemonstrated similar to prior. No significant mass effect is observed. Ventricular size and morphology are within normal limits.
Expected findings are seen compatible with resection of a large right frontal parafalcine meningioma. No definite evidence of any residual or recurrent tumor is noted.