Transient alteration of awareness [R40.4], Reason for Study: ^Reason: new abnormalities History: weakness, ams No evidence of acute ischemic or hemorrhagic lesion on this scan.There is, however, extra axial masses one at the left middle cranial fossa which extends toward left side cavernous sinus and pituitary fossa (about 31.8mm x 36mm) and another at the right middle cranial fossa anterolateral to the right temporal pole (about 23mm x 30mm on coronal scan).Comparing to prior scan, the configuration, approximate size, and the degree of mass effects toward adjacent brain do not show any interval change since prior scan.Significant encephalomalacia on both right and left fronto temporal lobes do not show any interval change since prior scan.Ex vacuo changes of both the left and right lateral ventricles are seen, unchanged. Left fronto temporal craniotomy site are seen, unchanged.Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.Mucosal thickening of the sphenoid sinus are seen.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Bilateral middle cranial fossa extra-axial mass, in particular, left side mass is extending toward the left cavernous sinus as well as pituitary fossa, likely representing meningioma are demonstrated, unchanged since prior scan.3. Unchanged bilateral frontal temporal encephalomalacia, ex vacuo changes of bilateral lateral ventricles, and mass effect of extra-axial masses