Meningioma, yearly follow up: evaluate for change in size. There is no significant interval change in the dural-based mass along the superior left frontoparietal convexity mass, which measures 19 AP x 23 RL x 18 SI mm, although assessment is somewhat limited by the lack of intravenous contrast. There is mild mass effect upon the underlying brain parenchyma, but no evidence of associated vasogenic edema. The mass appears to be separated from the superior sagittal sinus. There are unchanged nonspecific mild scattered punctate foci of T2 hyperintensity within the cerebral white matter, which likely represent small vessel ischemic disease. There is no evidence of acute intracranial hemorrhage or acute infarct. The ventricles are stable in size and configuration. There is no midline shift or herniation. The extracranial soft tissues are unremarkable, including a small right maxillary sinus retention cyst.
No significant interval change in the left frontoparietal convexity mass, which likely represents a meningioma.