76-year-old man with left-sided weakness and probable meningioma. Brain: Multiple sequences are degraded by motion artifact. There are multiple foci of restricted diffusion and high T2 signal in the right putamen, caudate, periventricular white matter of frontal lobe, right cerebellar hemisphere, and right middle cerebellar peduncle. There is no gross evidence of intracranial hemorrhage, although dedicated susceptibility weighted imaging was not performed. There is a dural based mass just to the left of midline and superficial to the left paracentral lobule that measures up to approximately 30 mm. There is also a left cerebellopontine angle tumor that measures up to 15 mm in diameter with mass effect upon the left brainstem and cerebellar hemisphere. The ventricles and basal cisterns are normal in size and configuration for the patient's age. There is no midline shift or herniation. The skull, and scalp soft tissues are grossly unremarkable. There is a T1 hyperintense subcentimeter left maxillary sinus retention cyst. There is right posterior globe intermediate T1 hemorrhage.Cervical Spine: There is reversal of the normal cervical lordosis and mild anterolisthesis of T2 on T3. There is anterior fusion of C3 and C4 and C5, C6 and C7 vertebral bodies as well as anterior and posterior fusion of the T1 and T2 vertebral bodies. There is multilevel degenerative spondylosis with mild spinal canal stenosis and up to severe neural foraminal stenosis from C3 to T1. There is a T1 and T2 hypointense lesion in the T2 vertebral body. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1.Multiple small recent infarcts involving the right putamen, caudate, and periventricular white matter, as well as the right cerebellar hemisphere and right middle cerebellar peduncle.2.A left paramidline mass likely represents a meningioma.3.A left cerebellopontine angle mass likely represents a vestibular schwannoma, but is incompletely characterized.4.Multilevel degenerative changes in the cervical spine without spinal cord compression.5.Nonspecific sclerotic lesion in the T2 vertebral body, which is better depicted on the prior CT.6. Right retinal hemorrhage.Findings discussed by phone with Dr Aliesje Sorgeloos at 2:24 pm on 10/8/2015.