Right sphenoid meningioma: headache. Brain: There is an enhancing dural based right paraclinoid mass that measures up to 27 mm, which is not significantly changed. The tumor abuts the right cisternal optic nerve and exerts mild mass effect upon the adjacent right medial temporal lobe. There is no evidence of intracranial hemorrhage or acute infarct. There are scattered cerebral white matter T2 hyperintense foci. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There are prominent arachnoid granulations in the bilateral greater wings of the sphenoid bones. There is mild scattered mucosal thickening in the paranasal sinuses.Orbits: The bilateral globes and ocular adnexa are unremarkable. There is no evidence of abnormal intraorbital enhancement or mass lesions.
1. No significant interval change in the right paraclinoid meningioma.2. Chronic small vessel ischemic white matter disease.