Reason: H/o suprasellar meningioma s/p XRT. History: H/o suprasellar meningioma s/p XRT.. A left paraclinoid/suprasellar meningioma is unchanged in size measuring 2.4 x 2.2 x 2.0 cm, previously 2.5 x 2.3 x 2.0 cm. Mass effect on the prechiasmatic left optic nerve and optic chiasm is similar to the prior exam. No edema is evident in the surrounding brain parenchyma. No new mass effect. No additional lesions or abnormal enhancement throughout the remaining parenchyma. No areas of diffusion restriction to suggest infarct. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is minimal mucosal thickening in the bilateral maxillary sinuses.
Left paraclinoid/suprasellar meningioma is stable in size and extent.