Meningioma 6 month: no prior surgical intervention. There is an enhancing extra-axial mass overlying the left paracentral lobe that measures up to 25 mm in thickness and 35 mm in length, which is not significantly changed. There is mild mass effect upon the underling brain parenchyma and an unchanged nonspecific punctate focus of high T2 signal in the nearby posterior superior frontal gyrus. The tumor abuts, but does not appear to invade the superior sagittal sinus. There is no evidence of intracranial hemorrhage or acute infarct. 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. The orbits, skull, and scalp soft tissues are grossly unremarkable. There are secretions in the left maxillary and ethmoid sinuses.
1. No significant interval change in size of an enhancing extra-axial mass overlying the left paracentral lobe, which likely represents a meningioma. 2. Findings suggestive of acute sinusitis.