History of lung carcinoma with left facial droop and seizure. Evaluate for stroke versus metastases. There is redemonstration of a 5 x 5 mm left lateral temporal extra-axial enhancing lesion causing minimal focal mass effect on the adjacent left inferior temporal gyrus cortex. There is associated T2/flair hyperintensity. There is no acute infarct. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses are clear. The skull and extracranial soft tissues are unremarkable.
No significant interval change in a 5 mm left lateral temporal extra-axial enhancing lesion presumably represents a tiny meningioma. Minimal adjacent mass effect on the adjacent cortex. Otherwise, no abnormal parenchymal or meningeal enhancement is seen to suggest metastatic disease. No evidence of acute infarct. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.