Meningioma. There is an enhancing dural based mass along the left frontal convexity that measures up to 15 mm in width, which is not significantly changed since 2009. Likewise, there is an enhancing dural based mass along the right frontal convexity that measures up to 5 mm in width, which is not significantly changed since 2009. There is no associated edema in the underlying brain parenchyma. There is no evidence of acute intracranial hemorrhage or acute infarct. There are mild nonspecific T2 hyperintense foci in the cerebral white matter, which likely represent chronic small vessel ischemic disease. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull appears unremarkable. There is an enhancing right occipital scalp nodule with areas of low T2 signal that measures up to 21 mm, previously 18 mm.
1. No significant change in the bilateral frontal convexity meningiomas, left larger than right.2. An enhancing right occipital scalp nodule continues to increase in size and may represent a fibrous tumor, for example. 