Female, 54 years old, with history of recurrent meningioma status post resection and radiation. Surveillance scan. Postsurgical findings are again seen compatible with right craniotomy for tumor resection.The residual right parafalcine meningioma is unchanged in size and morphology measuring 19 x 12 mm (image 45 series 10). As noted previously, this lesion abuts the superior sagittal sinus but without evidence to suggest invasion or occlusion. The resection cavity surrounding this lesion, and mild T2 hyperintensity within the adjacent parenchyma, are also unchanged.A small hemosiderin stained, centrally T2 hyperintense lesion within the right middle frontal gyrus is also unchanged.Mild patchy periatrial T2 hyperintensity is unchanged and nonspecific. No new intracranial lesions are detected. No evidence of parenchyma edema or mass effect is seen. There are no new abnormal fluid collections. The ventricles are stable and normal in size.
1. Stable right parafalcine meningioma.2. Stable presumed cavernous malformation in the right middle frontal gyrus.3. No new intracranial lesions.