Evaluate for recurrence of meningioma. Patient had two seizures today. There is no evidence of intracranial hemorrhage. A hyperdense region is identified along the superior falx. Adjacent to an area of encephalomalacia in the left frontal lobe is a density along the inner table of the left skull that likely represents cerebral cortex. However, an MRI is needed for further evaluation of these areas.White matter hypodensity in the right frontal lobe is more prominent than on the prior study. Correlate with any history of radiation therapy.The ventricles and basal cisterns are normal in size and configuration.Postsurgical findings of a craniotomy are noted. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Hyperdense region is identified along the superior falx. Further evaluation with MRI is recommended. White matter hypodensity in the right frontal lobe is more prominent than on the prior study.