Female, 80 years old, with history of meningioma status post radiotherapy, surveillance imaging. Redemonstrated is a tumor centered on the left sphenoid wing with both intraosseous and extraosseous components. As before, the tumor encroaches upon the orbital apex, the pterygopalatine fossa and foramen rotundum, the middle cranial fossa, a small portion of the cavernous sinus, and likely the infratemporal fossa. Since the prior examination, there has been no significant interval change in size or morphology of this lesion. T2 hyperintensity and encephalomalacia of the adjacent left anterior temporal lobe have not significantly changed. Redemonstrated is evidence of prior left pterional craniotomy.No new intracranial lesions are identified. Scattered foci of FLAIR hyperintensity in the cerebral hemispheres are nonspecific and unchanged. No evidence of new parenchymal edema or mass effect is observed. The ventricles are stable and normal in size.
Stable tumor centered on the left greater sphenoid wing with no evidence of any new intracranial abnormality.