 There is an enhancing lesion posteriorly along the right posterior clinoid process and clivus that extends posteriorly into the right prepontine cistern. This lesion measures approximately 10 x 5 mm (series 1001, image 10). There is no adjacent osseous erosion or destruction. No additional masses, mass effect, or midline shift. No acute intracranial hemorrhage or diffusion abnormalities to suggest acute ischemia. Mild interval progression of scattered T2/FLAIR hyperintense foci in the subcortical white matter, likely chronic small vessel ischemic disease. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. The pituitary gland is normal in size. Flow voids are present within the major vessels indicating patency. Complete opacification of the left maxillary sinus, which is unchanged; otherwise, the paranasal sinuses and mastoid air cells are clear.
1.Stable small enhancing extra axial mass posteriorly along the superior clivus on the right which could represent a meningioma.2.Chronic mild small vessel ischemic disease.3.Left maxillary chronic sinusitis.