Other symptoms and signs involving cognitive functions and awareness [R41.89], Reason for Study: ^Reason: assess for hemispheric lesions History: increasing cognitive dysfunction There is no evidence of acute ischemic or hemorrhagic lesion.Previously recognized left side of planum sphenoidale extra axial L enhancing mass likely represent meningioma shows interval increase in size, measured sized today was 11.4 mm x 12.6 mm x 7.2 mm which was measured about 10.7mm x 8.9mm x 5.3mm.There is no other abnormal enhancement on the scan.Scattered somewhat patchy high signal intensity lesions on periventricular white matter on FLAIR/T2 weighted images indicate nonspecific small vessel disease. No change since prior scan. Pituitary gland appears to be within normal limits.The ventricles, sulci and cisterns are symmetric and unremarkable. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1.Interval increase in size of anterior cranial fossa (left side planum sphenoidale) since prior scan: current measurement of size:11.4 mm x 12.6 mm x 7.2 mm.2. No change of non specific small vessel ischemic disease since prior scan.