Female, 66 years old, with recurrent lesion. Preoperative planning examination. Redemonstrated is evidence of high vertex craniotomy for prior resection of a falcine meningioma. Residual enhancing tissue most likely representing meningioma to the right of the falx has increased in size, now measuring up to 38 mm in AP dimension, previously 30 mm, and up to 14 mm in thickness, previously 12 mm. Thin enhancement along the resection margin to the left of the falx is unchanged and may represent postoperative granulation.Also redemonstrated is evidence of left frontal and left parietal craniotomy. A resection cavity in the left middle frontal gyrus is unchanged. An enhancing nodule along the left superior temporal gyrus measuring up to 8 mm in diameter is unchanged. An enhancing focus within the left squamous temporal bone is unchanged as well. No new intracranial lesions are seen. The ventricular system is stable in size and morphology.
Continued interval growth of residual tumor at the high right vertex to the right of the falx.