Patient with history of migraines, evaluate. Patient has previous history of left parietal meningioma. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma is unremarkable. There is persistent flattening of the pituitary gland. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation.Patient is status post left parietal craniotomy. Posttreatment signal abnormality is again seen within and adjacent to the left parietal calvarium. No gross residual or recurrent tumor is noted within the limitations of a noncontrast study. The major cerebral flow voids are intact. The orbits, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.No evidence of acute intracranial hemorrhage, mass, or acute infarct.2.Persistent flattening of the pituitary, likely secondary to known intracranial hypertension.3.Status post left parietal craniotomy for resection of meningioma, without evidence of gross recurrent tumor.