Meningioma follow-up. There is no significant interval change in size of the dural-based enhancing mass along the planum sphenoidale, which measures 19 mm in height, 28 mm in width, and 20 mm in length. The tumor extends into the right optic canal and compresses the right optic nerve. There is associated mass effect upon the bilateral straight gyri with mild surrounding vasogenic edema. There is also associated dilatation of the sphenoid sinus. There are unchanged nonspecific scattered foci of T2 hyperintensity in the bilateral cerebral hemisphere white matter. There is no evidence of intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits are grossly unremarkable.
No appreciable interval change in size of the planum sphenoidale meningioma with extension into the right optic canal and mild vasogenic edema in the adjacent brain parenchyma.