87-year-old female status post fall with an elevated INR. Please evaluate for acute intracranial hemorrhage. There is no evidence of intracranial hemorrhage. As a parafalcine high attenuation mass with a broad based dural connection measuring 2.9 x 2.0 cm transaxial at the posterior superior aspect of the right lateral ventricle consistent with a meningioma.Scattered areas of periventricular and subcortical low attenuation consistent with small vessel ischemic disease of indeterminate age.There is asymmetry in the size and configuration of the lateral ventricles, larger on the left. The possibility of a arachnoid cyst at the level of the left foramen of Monroe is a consideration further evaluation with MRI is recommendedThe calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. Right posterior parafalcine meningioma as detailed above.2. Possible intraventricular arachnoid cyst at the level of the left foramen of Monroe. Further evaluation with MRI is recommended.2. Small vessel ischemic disease of indeterminate age.