Further assessment of calcified mass on recent CT scan the head. The ossified extra-axial mass in the lateral right middle cranial fossa on the CT scan correlates with a mildly T2-hypointense, intensely contrast enhancing mass with a wide base over the medial squamosal and anterior petrous portions of the right temporal bone as well as part of the right greater wing of the sphenoid. It measures 3.9 cm x 2.1 cm x 2.0 cm and is associated with dural thickening extending along the free edge of the right tentorium (dural tail). It is associated with mild osseous expansion and loss of the fatty normal marrow signal. It is also associated with vasogenic edema in the anterior right temporal lobe reaching into the external capsule. This is associated with mild mass-effect on the right lateral ventricle and sylvian fissure. There is mild leftward midline shift and minimal right uncal herniation.Otherwise, the brain is unremarkable. There is no acute infarct or intracranial hemorrhage. The flow voids of the major intracranial arteries are preserved. Small right frontal scalp hematoma.
1.Calcified extra-axial mass in the lateral right middle cranial fossa most likely represents a meningioma. There is associated moderate degree of vasogenic edema with mild leftward midline shift and minimal right uncal herniation.2.Small right frontal scalp hematoma which may related to trauma.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.