58 years Female (DOB:2/8/1958)Reason: h/o R acoustic neuroma History: tinnitusPROVIDER/ATTENDING NAME: STEVEN J CHMURA STEVEN J CHMURA The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mass present in the right internal auditory canal measuring 15 x 6 mm axial dimensions which is also identified on prior examsNo abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
Right internal auditory canal mass is stable since the February exam. Examination is obtained for stereotactic guidance during surgery.