Female, 40 years old, status post meningioma resection in 3/2014. 6 month follow-up exam. Sequelae of meningioma resection from the left middle cranial fossa are again seen. This includes a wide left fronto-parieto-temporal craniotomy, as well as craniectomy and cranioplasty of part of the squamous temporal bone. The resection cavity itself is unchanged with evidence of encephalomalacia in the anterior temporal lobe. Thin enhancement along the resection cavity margins, and dural enhancement along the craniotomy margins, are also unchanged. The left greater sphenoid wing remains expanded and mildly enhancing but this, too, is without significant change.The left greater sphenoid wing bows minimally in towards the orbital apex, but no significant orbital encroachment or involvement of the optic nerve canal is seen. The orbital soft tissues are within normal limits.Elsewhere, brain parenchymal morphology is unremarkable. No new pathologic enhancement is seen. No evidence of restricted diffusion is detected. Ventricles are stable and normal in size.
1.Redemonstration of postoperative findings related to resection of a large left middle cranial fossa meningioma. 2.No findings to suggest recurrent tumor.