Lightheadedness, evaluate for CVA and compare meningioma There is no evidence of intracranial hemorrhage or acute infarct. There is a homogeneously enhancing dural based mass in the left middle cranial fossa with dense calcifications which are better appreciated on CT. Mass involves the left cavernous sinus and extends posteriorly along the left tentorium. There is mild displacement of the left internal carotid artery and PCA medially. Mass measures 2.9 x 2.3 cm (image 75, series 1101) and grossly unchanged compared to prior CT study. There is adjacent T2/FLAIR hyperintensity suggesting mild edema.Subcortical and periventricular T2/FLAIR hyperintense foci are compatible with moderate small vessel ischemic disease. The pituitary gland appears unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.Moderate small vessel ischemic disease without evidence of acute infarct.2.Left middle cranial fossa mass consistent with meningioma involving the left cavernous sinus and extending posteriorly along the left tentorium. There is no prior MRI for comparison, however it is grossly unchanged in size and configuration from the prior CT. There is mild associated parenchymal FLAIR hyperintensity in the left temporal lobe which may represent mild edema and/or gliosis.