The 62-year-old male with seizures. Minimal small vessel disease of indeterminate age is noted.High density tissue prominence along the medial aspect of left temporal lobe which obscures the left perimesencephalic cistern is noted. This lesion may contain calcification and it overlaps the edge of the tentorium. The finding may represent a small meningioma with a small amount of vasogenic edema within the left temporal lobe. Possibly tilt primary tumor of the brain parenchyma cannot be entirely however ruled out. Further evaluation with an infused MRI examination is highly recommended. This finding is best appreciated on axial image 5 through 7. No evidence of hemorrhage, mass-effect, midline shift or hydrocephalus.
1.Minimal small vessel disease.2.Mass along the medial aspect left temporal lobe or along the edge of the tentorium with minimal vasogenic edema as detailed above.3.Follow-up with a dedicated posterior diffuse MRI of brain is recommended. 