Benign neoplasm of cerebral meninges [225.2], Reason for Study: ^Reason: Probable meningioma. History: meningioma. There is focal restricted diffusion on the right cerebellar hemisphere indicating focal acute ischemic infarction. There is no evidence of hemorrhagic transformation. There is no other acute ischemic infarction.Re-demonstration of left anterior temporal well enhancing extra axial mass measured (33mm x 44mm x 36mm). The size and MR characteristics appear to be stable since prior scan.The left parotid gland tubular non-enhancing structure is again seen and does not show any significant interval change in terms of its size, configuration and MR characteristics since prior exam.Minimal non specific small vessel ischemic disease, no change since prior exam.The ventricles, sulci and cisterns are symmetric and unremarkable. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. Acute ischemic stroke on the right cerebellar hemisphere without evidence of hemorrhagic transformation. This finding was informed to Dr. Lukas.2. No change of left temporal pole extra axial mass, left parotid gland lesion and non specific small vessel ischemic disease since prior exam. 