Diagnosis: Benign neoplasm of meninges, unspecifiedClinical question: meningioma f/u, compare w/ priorComments: Meningioma resection 7/2012 | The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post right-sided craniotomy. A small focus of encephalomalacia is present along the right frontal lobe along the lateral aspect of the right precentral gyrus extending to the subcentral lobule. No abnormal enhancing lesion is appreciated to suggest local recurrence.There is a T1 hyperintense mass present along the perivertebral musculature at the C1-2 level measuring 41 x 26 mm axial dimensions which is bright on T1-weighted imaging and suppresses on the fat suppressed images suggesting that this is a lipoma. It is unchanged since the prior exam.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.
1.No evidence for local recurrence of meningioma status post right parietal bone craniotomy for removal of the meningioma.2.Lipoma in the left upper neck is stable.