Post resection of meningioma follow up. There is no evidence of acute ischemic or hemorrhagic lesion.There is evidence of right frontotemporal craniotomy with thickening of the underlying dura. On post gadolinium enhanced the scan, the right shows a thick enhancement however the pattern of enhancement and thickness of the dura do not show any significant interval change since prior scan.There is no discrete masslike enhancement on the scan either.Right inferior frontal and temporal lobe anterior aspect shows high signal intensity with encephalomalacia seen on FLAIR imaging indicating postoperative changes, again no change since prior scan.The ventricles, sulci and cisterns are symmetric and unremarkable except extraocular changes of the right lateral ventricle temporal horn. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
Right frontal temporal craniotomy with tumor resection status and postoperative changes as described above, no change since prior scan.No evidence of residual or recurrent tumor on this scan.