Meningioma follow up. There is no significant interval change in the extra-axial enhancing mass along the planum sphenoidale and olfactory groove that measures 25 AP x 26 RL x 19 SI mm. There is unchanged mild confluent T2 hyperintensity along the adjacent inferior right frontal lobe, which likely represents edema. There is mild pneumosinus dilatans and hyperostosis. There are a few scattered foci of cerebral white matter T2 hyperintensity, which have progressed. There is no evidence of intracranial hemorrhage or acute infarct. There is an unchanged defect in the left cerebellar hemisphere and a new punctate defect in the right cerebellar hemisphere. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is a 5 mm wide right frontal bone outer table osteoma.
1. No significant change in the meningiomas along the planum sphenoidale and olfactory groove.2. Mild chronic small vessel ischemic changes with chronic cerebellar infarcts that have progressed, but no acute infarct. 