Meningioma surveillance imaging. There is an unchanged small heterogeneously enhancing dural-based lesion overlying the right peri-rolandic region, without significant mass effect upon the brain. There is no evidence of intracranial hemorrhage or acute infarct. There are unchanged minimal scattered foci of T2 hyperintensity in the cerebral white matter. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull and scalp soft tissues are grossly unremarkable. There is right aphakia. There is mild scattered paranasal sinus mucosal thickening.
1. No significant interval change in an extra-axial dural based enhancing lesion overlying the right peri-rolandic region, which may represent a meningioma. 2. Minimal probable chronic small vessel ischemic disease, without evidence of acute infarction. 