Clinical question: History of tentorial meningioma. Signs and symptoms: Surveillance scan. Pre and post enhanced brain MRI:Unremarkable diffusion weighted series.Examination again demonstrates a tiny pleural-based extra-axial uniformly enhancing mass consistent with a meningioma along the inferior posterior aspect of right tentorial leaf. It measures approximately 7.1 x 9.5 mm in size just nearly identical to prior exam. This finding results in very subtle indentation along the superior aspect of right cerebellum without detected edema and stable since prior study.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and brain myelination for stated age and without detectable abnormal enhancement.Extensive chronic sinusitis more prominent in the maxillary sinuses is noted which is a new finding since prior exam.Unremarkable images through the orbits including axial fat sat post enhanced series.
1.No acute intracranial process.2.Stable tiny meningioma along the inferior-posterior aspect of the right tentorial leaf measuring at 9.5 x 7.1 mm.3.Unremarkable pre and post enhanced brain MRI otherwise.4.Chronic pansinusitis which is a new finding since prior exam.