37-year-old female with headaches and a history of meningiomas. The patient is status post resection of a right frontal meningioma in 3/17/2015. Compared to previous Brain MRI dated 1/23/2016 there has been no significant change in the FLAIR hyperintensity/gliosis with mild enhancement surrounding the right frontal resection cavity. Mild postsurgical dural thickening is also unchanged at the craniotomy site.An enhancing meningioma along the left anterior falx abutting the crista galli measures 0.9 x 0.9 x 1.3 cm (axial series 1001, image 14 and sagittal series 12-3, image 84) and is unchanged compared to the previous exam. There been no interval change in the minimal adjacent edema.There is stable plaque-like dural thickening and enhancement filling the left Meckel's cave and the right cavernous sinus. A stable small enhancing meningioma along the superior aspect of the right tentorium is unchanged and measures 0.6 x 0.6 cm (series 1001, image 12)There are prominent calcifications of the cord plexus with mild surrounding enhancement which are unchanged. There is grossly symmetric enhancement of the facial nerves, slightly more prominent in the left geniculate ganglion region which is nonspecific.There is no evidence of intracranial hemorrhage, mass effect, midline shift or herniation. The ventricles and basal cisterns are normal in size and configuration. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.Stable postsurgical changes in the right frontal region status post resection of a meningioma on 3/17/2015. No findings to suggest residual or recurrent meningioma in this region.2.Stable small meningiomas along the left inferior frontal falx and along the right tentorium. Stable mild edema associated with the left inferior frontal meningioma.3.Stable enhancement involving right cavernous sinus and left Meckel's cave which may be related to meningiomas or perhaps schwannomas.4.Stable appearance of the calcified right larger than left choroid plexus with mild surrounding enhancement. Findings nonspecific, but meningiomas in these regions not excluded.