78-year-old female with upper motor neuron signs, facial weakness, and dementia. Motion artifact markedly degrades image quality. There is an extra-axial enhancing mass overlying the anterior left frontal lobe, which contains susceptibility effect, measuring approximately 3.1 x 2.0 x 3.0 cm. There is mass effect upon the right frontal lobe, but no discernible vasogenic edema. There are a few scattered foci of increased T2 signal within the cerebral white matter, including a subcortical focus in the right inferior frontal gyrus. There is no evidence of acute infarction. There is a nonspecific focus of susceptibility artifact in the right superior frontal gyrus, which may represent chronic microhemorrhage. There is mild diffuse parenchymal volume loss. 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. There is degenerative spondylosis in the imaged upper cervical spine.
1.An extra-axial mass overlying the left anterior frontal lobe likely represents a meningioma.2.A few cerebral white matter lesions are nonspecific, but may represent chronic ischemic disease, although characterization is limited by the marked motion artifact.3. No evidence of acute infarction.4. Mild diffuse cerebral volume loss.