74 years Female (DOB:8/2/1941)Reason: Compare to prior MRI. Oddoma finding in skull last time Right temporal bone History: NonePROVIDER/ATTENDING NAME: STEVEN J CHMURA STEVEN J CHMURA There is a stable mildly enhancing extra-axial mass which is arising from the right clinoid process measuring 17 x 18 x 14 mm (AP/TR/CC). Finding correlates with patient's known history meningioma. Lesion is not significantly changed when compared to the prior exam in which it measured 18 x 17 x 14 mm. No other areas of abnormal post contrast enhancement identified. The mass abuts the right anterior and middle cerebral arteries as well as the distal right internal carotid artery. This also partially surrounds the right optic nerve and displaces it superiorly and medially.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. This is stable compared to the prior exam.Incidental note is made of partial empty sella.A small focus of enhancement is redemonstrated in the right parietal bone measuring 22 x 6 mm in axial dimensions. On the prior exam it was smaller and measured 14 x 4 mm axial dimensions.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Stable meningioma arising adjacent to the right anterior clinoid process. It partially involves the right optic nerve, right internal carotid artery, right anterior cerebral artery and right middle cerebral artery.2.The right parietal bone lesion appears more extensive on the current versus the prior exam. Further evaluation with a CT scan may be of benefit.